Valutazione funzionale del paziente operato di esofagectomia ed esofagogastroplastica intratoracica per cancro dell'esofago.

Translated title of the contribution: Functional evaluation of the intrathoracic stomach after esophagectomy for esophageal cancer

L. Bonavina, M. Anselmino, A. Ruol, N. Borsato, A. Peracchia

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Sixteen patients underwent evaluation of duodenogastric reflux and gastric function 1 to 7 years after esophagectomy, high intrathoracic anastomosis, and pyloric divulsion for esophageal cancer. Ten patients (62%) had either postoperative digestive symptoms or endoscopic mucosal lesions, cholescintigraphy demonstrated duodenogastric reflux in 11 cases (69%). No gastric motor activity was recorded on manometry. 24-hour pH gastric monitoring showed that the area under the curve less than 4 was significantly less than in controls (p = 0.0003). The results of the present study show that duodenogastric reflux is a common event after esophageal replacement with the stomach. The interaction between acid and alkaline secretions plays a role in the pathogenesis of mucosal lesions, and it may explain the partial failure of the current therapeutic strategies.

Original languageItalian
Pages (from-to)247-251
Number of pages5
JournalMinerva Chirurgica
Volume46
Issue number7 Suppl
Publication statusPublished - Apr 15 1991

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Esophagectomy
Duodenogastric Reflux
Esophageal Neoplasms
Stomach
Manometry
Area Under Curve
Motor Activity
Acids
Therapeutics

ASJC Scopus subject areas

  • Surgery

Cite this

Valutazione funzionale del paziente operato di esofagectomia ed esofagogastroplastica intratoracica per cancro dell'esofago. / Bonavina, L.; Anselmino, M.; Ruol, A.; Borsato, N.; Peracchia, A.

In: Minerva Chirurgica, Vol. 46, No. 7 Suppl, 15.04.1991, p. 247-251.

Research output: Contribution to journalArticle

Bonavina, L. ; Anselmino, M. ; Ruol, A. ; Borsato, N. ; Peracchia, A. / Valutazione funzionale del paziente operato di esofagectomia ed esofagogastroplastica intratoracica per cancro dell'esofago. In: Minerva Chirurgica. 1991 ; Vol. 46, No. 7 Suppl. pp. 247-251.
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