Gastric Emptying Procedure After Esophagectomy


Study

Design

Patient group

Primary outcomes

Secondary outcomes

Level of evidence

Ludwig et al. [11]

Prospective

48 patients

No DGE

38 % anastomotic stricture

Moderate

No pyloric drainage

25 % reflux

8.3 % dumping

Maier et al. [12]

Prospective

18 patients

12 reflux

12 esophagitis

Low

No pyloric drainage

Lee et al. [19]

Retrospective

50 patients

37.5 % DGE
 
Moderate

 46 finger disruption

 4 pyloroplasty

Kent et al. [15]

Retrospective

12 patients

No DGE

No aspiration pneumonia

Low

All botox injections

Lanuti et al. [8]

Retrospective

242 patients

DGE/GOO

Anastomotic leak

Moderate

 83 no drainage

 9.6 % vs. 18.2 %

 No difference

 159 pyloromyotomy

P: 0.078

Pulmonary complications

 27.7 % vs. 19.5 %

P: 0.15

Respiratory failure

 8.4 % vs. 4.4 %

P: 0.20

Length of stay

 10 vs. 11 days

P: 0.18

Perioperative mortality

 2.4 % vs. 2.5 %

P: 0.96

Maffetone et al. [17]

Retrospective

35 patients

No DGE
 
Low

 Whole stomach and  no pyloric drainage

Palmes et al. [7]

Retrospective

 198 patients

Reflux

Esophagitis

Moderate

 46 no drainage

 0 % vs. 14.9 %

 10.3 vs. 34.5 %

 152 pyloromyotomy or pyloroplasty

P: 0.069

P < 0.05

Anastomotic leak

 17.4 % vs. 14.5 %

P > 0.05

Aspiration

 13 % vs. 15.8 %

P > 0.05

Length of stay

 21.7 vs. 23.2, 16 days

P > 0.05

Perioperative mortality

 2.2 % vs. 2.6 %

P > 0.05

Kim et al. [16]

Retrospective

257 patients

8 % GOO

 21 % anastomotic stricture

Moderate

All finger fracture

Cerfolio et al. [13]

Retrospective

221 patients

DGE on POD#4

Stricture-dilated

Moderate

 54 no drainage

 96 %

 7.4 %

 71 pyloromyotomy

 93 %

 8.4 %

 28 pyloroplasty

 96 %

 14 %

 68 botox

 59 %

 7.3 %

Bile reflux

Anastomotic leak

 9 %

 1

 20 %

 0

 38 %

 0

 6 %

 0

Aspiration/ pneumonia

 22 %

 14 %

 32 %

 13 %

Mortality

 4 %

 6 %

 4 %

 4.4 %

Length of stay

 8.2 days

 9.5 days

 8.7 days

 7.3 days

Martin et al. [18]

Prospective

45 patients

4.4 % early DGE
 
Moderate

All botox injections

6.7 % late DGE

Deng et al. [14]

Prospective

78 patients

Early DGE

Anastomotic leaks

Moderate

 30 no drainage

13.3 % vs. 0 %

 23.3 % vs. 16.7 %

 48 digital fracture

Cardiopulmonary complication

 10 % vs. 4.2 %

Nguyen et al. [6]

Retrospective

140 patients

DGE/GOO

Leak rate

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Dec 30, 2016 | Posted by in CARDIOLOGY | Comments Off on Gastric Emptying Procedure After Esophagectomy

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