Esophageal replacement: Gastric tube or whole stomach?

Collard, Jean-Marie; Tinton, Nicolas; Malaise, Jacques; Romagnoli, Renato; Otte, Jean-Bernard; Pj, Kestens

doi:10.1016/0003-4975(95)00411-d

Cited by 111 publications

(79 citation statements)

References 11 publications

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“…This is consistent with the results of Yoichi Tabira et al (18). On the contrary, this indicated that although with a small residual gastric volume (a reduction of the gastric capacity by one-third on average after tubulization), the gastric tube preserved the physiological function of stomach well and can function as well as the WS reconstruction (22).…”

Section: Discussionsupporting

confidence: 92%

Comparison of the Health-related Quality of Life in Patients with Narrow Gastric Tube and Whole Stomach Reconstruction after Oncologic Esophagectomy: A Prospective Randomized Study

Zhang

et al. 2013

Scand J Surg

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Background andResults: The perioperative complication rate was 26.9% in narrow gastric tube group and 48.1% in whole stomach group (P = 0.31). At the time of 3 weeks after surgery, the reflux and dyspnea scores were higher in whole stomach group than in narrow gastric tube group, which meant that the patients in whole stomach group suffered more severe problem. At the time of 6 months and 1 year after surgery, the reflux scores were lower in narrow gastric tube group than in whole stomach group, which revealed that there were less problems of reflux in the patients of narrow gastric tube group; meanwhile, the score of physical function scale in narrow gastric tube group was higher conversely, which suggested that the patients gain a better status in physical function. Nausea and vomiting is the only notable symptom that was worse in whole stomach group at the time of 2 years after surgery, which suggested that patients in whole stomach group suffered more severe nausea and vomiting.Conclusions: Narrow gastric tube reconstruction may be a good alternative choice for patients undergoing oncologic esophagectomy in view of better health-related quality of life after the surgery.

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Section: Discussionsupporting

confidence: 92%

Comparison of the Health-related Quality of Life in Patients with Narrow Gastric Tube and Whole Stomach Reconstruction after Oncologic Esophagectomy: A Prospective Randomized Study

Zhang

et al. 2013

Scand J Surg

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“…First, progressive reappearance of high-amplitude antral contractions during the first 3 postoperative years improves alimentary comfort substantially. This improvement 9 consists of a decreased sensation of early postprandial fullness, greater ability to take a normal amount of food, and a reduction in the number of meals eaten during the day. This process may be accelerated dramatically by early administration of erythromycin.…”

Section: Group 3 (N ‫؍‬ 42)mentioning

confidence: 99%

“…7,15 The second process consists of the reappearance of a normal intraluminal acidity, with subsequent deterioration of the alimentary comfort because of the development of disabling reflux symptoms and cervical esophagitis. However, because they are unusual at short-term follow-up, 9 reflux symptoms do not alter alimentary comfort in most patients who cannot anticipate long-term survival after esophagectomy for advanced neoplastic disease. In contrast, the potential for the long-term development of a disabling reflux symptomatology and above all of a preneoplastic condition in the cervical esophagus brings into question the use of the stomach as an esophageal substitute after subtotal esophagectomy for benign, dysplastic, or early neoplastic disease.…”

Section: Group 3 (N ‫؍‬ 42)mentioning

confidence: 99%

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Denervated Stomach as an Esophageal Substitute Recovers Intraluminal Acidity With Time

Gutschow¹,

Collard²,

Romagnoli³

et al. 2001

Annals of Surgery

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ObjectiveTo determine whether the denervated stomach as an esophageal substitute recovers normal intraluminal acidity with time. Summary Background DataBilateral truncal vagotomy to the stomach as an esophageal substitute reduces both gastric acid production and antral motility, but a spontaneous motor recovery process takes place over years. MethodsIntraluminal gastric pH and bile were monitored during a 24-hour period 1 to 195 months after transthoracic elevation of the stomach as esophageal replacement in 91 and 76 patients, respectively. Nine patients underwent a second gastric pH monitoring after a 3-year period. The percentages of time that the gastric pH was less than 2 and bile absorbance exceeded 0.25 were calculated in reference to values from 25 healthy volunteers. Eighty-nine upper gastrointestinal endoscopies were performed in 83 patients. Patients were divided into three groups depending on length of follow-up: group 1, less than 1 year; group 2, 1 to 3 years; group 3, more than 3 years.

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“…The patients followed up were interviewed for presence of foregut symptoms according to standard questionnaires similar to that given by Collard et al [8] to patients who had undergone gastric interposition. The questions were as follows:…”

Section: Functional Assessmentmentioning

confidence: 99%

Antesternal Colonic Interposition for Corrosive Esophageal Stricture

et al. 2012

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Restoration of swallowing in a patient with dysphagia due to nondilatable corrosive stricture of esophagus remains a surgical challenge. Organs available for replacement are stomach, jejunum, or colon. Jejunum is useful to replace a small segment, whereas stomach and colon are required for a long-segment replacement. In cases where the stomach is also injured, colon remains the only option. The route of colonic interposition has also been a subject of debate over the years. Antesternal, retrosternal, or esophageal bed passage are the routes described. In the present series, the data of antesternal colonic interposition (ACI) performed for nondilatable benign esophageal strictures in 32 patients have been retrospectively analyzed. The results indicate that ACI for corrosive strictures is a quick and simple procedure. Thoracotomy is avoided and anastomosis is easily performed in the neck, and mortality rate due to anastomotic failure or graft failure is diminished. This retrospective analysis discusses the ease, effectiveness, quality of life, morbidity, and mortality of ACI and compares the pros and cons of ACI with other procedures described in the literature.

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Esophageal replacement: Gastric tube or whole stomach?

Cited by 111 publications

References 11 publications

Comparison of the Health-related Quality of Life in Patients with Narrow Gastric Tube and Whole Stomach Reconstruction after Oncologic Esophagectomy: A Prospective Randomized Study

Comparison of the Health-related Quality of Life in Patients with Narrow Gastric Tube and Whole Stomach Reconstruction after Oncologic Esophagectomy: A Prospective Randomized Study

Denervated Stomach as an Esophageal Substitute Recovers Intraluminal Acidity With Time

Antesternal Colonic Interposition for Corrosive Esophageal Stricture

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