Delayed Gastric Empting Following Transhiatal Esophagectomy without Pyloroplasty: Our Experience with Endoscopic Botox Injection

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Delayed Gastric Empting Following Transhiatal Esophagectomy without Pyloroplasty: Our Experience with Endoscopic Botox Injection

Esophagectomy is accompanied with high morbidity, in up to 70% of cases as well as significant mortality. One of the complications is delayed gastric tube emptying, up to 30 %. Gastric drainage procedure like pyloroplasty may solve this problem. This procedure, although relatively safe, can lead to significant complications like suture line leaks, bile reflux, and late pyloric stricture. The ai...

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Transhiatal esophagectomy: clinical experience and refinements.

OBJECTIVE To review the authors' clinical experience with transhiatal esophagectomy (THE) and the refinements in this procedure that have evolved. BACKGROUND Increased use of THE during the past two decades has generated controversy about the merits and safety of this approach compared with transthoracic esophageal resection. The authors' large THE experience provides a valuable basis for ben...

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Herniation of colon following transhiatal esophagectomy.

We report a 38-year-old man with intestinal obstruction following transhiatal esophagectomy for carcinoma esophagus; it occurred secondary to herniation of the transverse colon through the esophageal hiatus into the mediastinum. The patient is asymptomatic after reduction of the hernia and repair of the disphragmatic hernia.

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Usefulness of Pyloromyotomy With Transhiatal Esophagectomy in Improving Gastric Emptying

INTRODUCTION Pyloromyotomy is a pyloric drainage procedure routinely done during transhiatal esophagectomy (THE) to prevent delayed gastric emptying (GE) resulting from truncal vagotomy. However, controversy still surrounds the need for pyloric drainage following esophageal substitution with gastric conduit after esophagectomy. The aim of this study was to determine the usefulness of pyloromyot...

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Transhiatal esophagectomy in the profoundly obese: implications and experience.

BACKGROUND Historically, obesity contraindicated an abdominal approach to the esophagogastric junction. The technique of transhiatal esophagectomy (THE) evolved without specific regard to body habitus. The dramatic increase in obese patients requiring an esophagectomy for complications of reflux disease prompted this evaluation of the impact of obesity on the outcomes of esophagectomy to determ...

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ژورنال

عنوان ژورنال: MOJ Clinical & Medical Case Reports

سال: 2016

ISSN: 2381-179X

DOI: 10.15406/mojcr.2016.04.00110