Surgical techniques to prevent delayed gastric emptying after esophagectomy with gastric interposition: a systematic review

Ronald D L Akkerman; Leonie Haverkamp; Richard van Hillegersberg; Jelle P Ruurda

doi:10.1016/j.athoracsur.2014.06.057

Surgical techniques to prevent delayed gastric emptying after esophagectomy with gastric interposition: a systematic review

Ronald D L Akkerman, Leonie Haverkamp, Richard van Hillegersberg, Jelle P Ruurda

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Delayed gastric emptying is observed in 10% to 50% of patients after esophagectomy with gastric interposition. The effects of gastric interposition diameter, pyloric drainage, reconstructive route, and anastomotic site on postoperative gastric emptying were systematically reviewed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Most studies showed superior passage of the gastric tube compared with the whole stomach. Pyloric drainage is not significantly associated with the risk of developing delayed gastric emptying after esophagectomy. For reconstructive route and anastomotic site, available evidence on delayed gastric emptying is limited. Prospectively randomized studies with standardized outcome measurements are recommended.

Original language	English
Pages (from-to)	1512-9
Number of pages	8
Journal	Annals of Thoracic Surgery
Volume	98
Issue number	4
DOIs	https://doi.org/10.1016/j.athoracsur.2014.06.057
Publication status	Published - 2014

Keywords

Esophagectomy
Gastric Emptying
Humans
Postoperative Complications
Stomach

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10.1016/j.athoracsur.2014.06.057

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title = "Surgical techniques to prevent delayed gastric emptying after esophagectomy with gastric interposition: a systematic review",

abstract = "Delayed gastric emptying is observed in 10% to 50% of patients after esophagectomy with gastric interposition. The effects of gastric interposition diameter, pyloric drainage, reconstructive route, and anastomotic site on postoperative gastric emptying were systematically reviewed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Most studies showed superior passage of the gastric tube compared with the whole stomach. Pyloric drainage is not significantly associated with the risk of developing delayed gastric emptying after esophagectomy. For reconstructive route and anastomotic site, available evidence on delayed gastric emptying is limited. Prospectively randomized studies with standardized outcome measurements are recommended.",

keywords = "Esophagectomy, Gastric Emptying, Humans, Postoperative Complications, Stomach",

author = "Akkerman, {Ronald D L} and Leonie Haverkamp and {van Hillegersberg}, Richard and Ruurda, {Jelle P}",

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AU - Haverkamp, Leonie

AU - van Hillegersberg, Richard

AU - Ruurda, Jelle P

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AB - Delayed gastric emptying is observed in 10% to 50% of patients after esophagectomy with gastric interposition. The effects of gastric interposition diameter, pyloric drainage, reconstructive route, and anastomotic site on postoperative gastric emptying were systematically reviewed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Most studies showed superior passage of the gastric tube compared with the whole stomach. Pyloric drainage is not significantly associated with the risk of developing delayed gastric emptying after esophagectomy. For reconstructive route and anastomotic site, available evidence on delayed gastric emptying is limited. Prospectively randomized studies with standardized outcome measurements are recommended.

KW - Esophagectomy

KW - Gastric Emptying

KW - Humans

KW - Postoperative Complications

KW - Stomach

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JO - Annals of Thoracic Surgery

JF - Annals of Thoracic Surgery

IS - 4

ER -

Surgical techniques to prevent delayed gastric emptying after esophagectomy with gastric interposition: a systematic review

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