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 journalArticlepeer-review

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.

Translated title of the contributionFunctional evaluation of the intrathoracic stomach after esophagectomy for esophageal cancer
Original languageItalian
Pages (from-to)247-251
Number of pages5
JournalMinerva Chirurgica
Volume46
Issue number7 Suppl
Publication statusPublished - Apr 15 1991

ASJC Scopus subject areas

  • Surgery

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