Background:There are controversies regarding the usefulness of the pyloric drainage methods after esophagectomy as well as differences among various pyloric drainage techniques. Therefore, we compared the outcome of pyloromyotomy, pylorus buginage, and no intervention methods on gastric emptying among patients undergone esophagectomy.Materials and Methods:In this randomized clinical trial, patients with diagnosed esophageal cancer or any other benign lesions candidate for esophagectomy were selected. They randomized in three groups with three different approaches for gastric pull-up esophageal surgery including esophagectomy with pyloromyotomy, esophagectomy without intervention, and esophagectomy with pylorus buginage. The outcomes of procedures regarding gastric emptying time and delayed gastric emptying were compared.Results:Thirty patients were allocated in three groups. Gastric emptying time was not significantly different in the three groups (P > 0.05). Frequency of delayed gastric emptying, complications and barium leakage were not different in three studied groups (P > 0.05).Conclusion:Gastric emptying time and delayed gastric emptying were not different between common pyloric drainage methods after esophagectomy and esophagectomy without drainage.

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The inadequacy of many existing roads due to rapid growth in traffic volume provides a motivation for exploring alternatives to existing methods of constructing and rehabilitating roads. The use of geosynthetics to stabilize and reinforce paved and unpaved roadways offers one such alternative. Many studies were conducted to evaluate the improvements associated with geogrid reinforcement of pavements. It is widely believed that geogrid reinforcement of roadways can extend the pavements service life and/or reduce the pavements structural thickness. This paper examines a method to compare traditional pavement structure designs, absent of geosynthetics, to pavement structure designs incorporating geosynthetics. At first, a specific unpaved road structure design is presented with recommended corresponding traditional road structure components. The road structure is then re-examined incorporating newly developed, reengineered geogrid. Finally, related costs with this particular design are outlined, analyzed and compared. In this case, cost savings achieved by using geogrid are substantial.