title: Comparison of pyloromyotomy, pyloric buginage, and intact pylorus on gastric drainage in gastric pull-up surgery after esophagectomy.
abstract: BACKGROUND
  There are controversies regarding the usefulness of the pyloric drainage methods after esophagectomy as well as differences among various pyloric drainage techniques. Therefore, we compared the outcome of pyloromyotomy, pylorus buginage, and no intervention methods on gastric emptying among patients undergone esophagectomy.
  
  
  METHODS
  In this randomized clinical trial, patients with diagnosed esophageal cancer or any other benign lesions candidate for esophagectomy were selected. They randomized in three groups with three different approaches for gastric pull-up esophageal surgery including esophagectomy with pyloromyotomy, esophagectomy without intervention, and esophagectomy with pylorus buginage. The outcomes of procedures regarding gastric emptying time and delayed gastric emptying were compared.
  
  
  RESULTS
  Thirty patients were allocated in three groups. Gastric emptying time was not significantly different in the three groups (P> 0.05). Frequency of delayed gastric emptying, complications and barium leakage were not different in three studied groups (P> 0.05).
  
  
  CONCLUSIONS
  Gastric emptying time and delayed gastric emptying were not different between common pyloric drainage methods after esophagectomy and esophagectomy without drainage.
authors.affiliation: Department of Thoracic Surgery, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Gholamreza
authors.initials: G
authors.lastname: Mohajeri
authors.affiliation: Department of Thoracic Surgery, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Seyed Abbas
authors.initials: SA
authors.lastname: Tabatabaei
authors.affiliation: Department of Thoracic Surgery, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Seyed Mozafar
authors.initials: SM
authors.lastname: Hashemi
authors.affiliation: Department of Thoracic Surgery, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Hamidreza
authors.initials: H
authors.lastname: Hemmati
keywords: Esophagectomy; pyloric buginage; pyloromyotomy