Motility studies of the cervical esophagus with intrathoracic gastric conduit after esophagectomy.
Gastric emptying, upper esophageal sphincter pressure and intrathoracic gastric motility were studied in esophagectomized patients, ten with a gastric conduit in the posterior mediastinum and ten with a conduit in the retrosternal space. In addition, the clinical state was reassessed more than 6 months after esophageal reconstruction. Gastric emptying, assessed with Tc-99m Sn colloid in a semisolid test meal, did not differ between the two groups. In manometric studies a high-pressure zone distal to the upper esophageal sphincter was associated with dysphagia. A high-pressure zone at the anastomosis was found in 60% of the retrosternal group and 20% of the posterior mediastinal group. As regards food intake, the posterior mediastinal route seems to be preferable in esophageal replacement, since it permits more physiologic motility of the conduit.
Shiraha
S
S
Second Department of Surgery, Kinki University School of Medicine, Osaka, Japan.
Matsumoto
H
H
Terada
M
M
Noguchi
J
J
Sankouji
T
T
Hayashi
M
M
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D003680:Deglutition Disorders / Q000209:etiology / Q000503:physiopathology; D016629:Esophagectomy / Q000379:methods; D004947:Esophagus / Q000502:physiology* / Q000601:surgery; D005260:Female; D005746:Gastric Emptying; D005769:Gastrointestinal Motility; D006801:Humans; D008297:Male; D008365:Manometry; D008875:Middle Aged; D011183:Postoperative Complications; D011184:Postoperative Period; D013270:Stomach / Q000502:physiology / Q000601:surgery*