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Gastric Emptying Procedure After Esophagectomy

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Difficult Decisions in Thoracic Surgery

Part of the book series: Difficult Decisions in Surgery: An Evidence-Based Approach ((DDSURGERY,volume 1))

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Abstract

A systematic review of the literature was performed to assess the necessity of a pyloric drainage procedure during an esophagectomy. Fourteen individual studies were identified from the past decade that published patient outcome after undergoing an esophagectomy either with or without a pyloric drainage procedure. Careful analysis demonstrated that pyloric drainage procedure was associated with a non-significant trend for delayed gastric emptying and biliary reflux, while not affecting the incidence of dumping. No correlation was identified between a pyloric drainage procedure and anastomotic leaks, postoperative pulmonary complications, length of hospital stay, and overall perioperative morbidity.

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Authors and Affiliations

  1. Division of Thoracic Surgery, Brigham and Women’s Hospital, 15 Francis Street, Boston, MA, 02115, USA

    Puja Gaur MD & Scott James Swanson MD

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  1. Puja Gaur MD
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  2. Scott James Swanson MD
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Correspondence to Scott James Swanson MD .

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Editors and Affiliations

  1. Surgery, University of Chicago, Chicago, Illinois, USA

    Mark K. Ferguson

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© 2014 Springer-Verlag London

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Gaur, P., Swanson, S.J. (2014). Gastric Emptying Procedure After Esophagectomy. In: Ferguson, M. (eds) Difficult Decisions in Thoracic Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach, vol 1. Springer, London. https://doi.org/10.1007/978-1-4471-6404-3_29

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  • DOI: https://doi.org/10.1007/978-1-4471-6404-3_29

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-6403-6

  • Online ISBN: 978-1-4471-6404-3

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