The Study of Manometry and Gastric Emptying Time in Patients after Esophagectomy.
- Author:
Cheol Jong LEE
1
;
Seok Reyol CHOI
;
Sam Ryong JEE
;
Kwang Jin KIM
;
Dong Joo KEUM
;
Ki Bong HONG
;
Jong Hun LEE
;
Sang Young HAN
;
Pill Jo CHOI
Author Information
1. Department of Internal Medicine, Dong-A University College of Medicine, Pusan, Korea.
- Publication Type:Original Article
- Keywords:
Esophagectomy;
Manometry;
Gastric emptying time
- MeSH:
Colon;
Constriction, Pathologic;
Esophageal Diseases;
Esophageal Neoplasms;
Esophageal Sphincter, Upper;
Esophagectomy*;
Esophagus;
Gastric Emptying*;
Humans;
Jejunum;
Manometry*;
Palliative Care;
Stomach
- From:Korean Journal of Gastrointestinal Motility
2001;7(2):197-203
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND/AIMS: Resection of the esophagus for malignant disease or a benign stenosis, has a choice not only of palliative surgery, but also of replacement of the esophagus with a transposed stomach, jejunum, or colon. The first-line method is replacement with a tubulized stomach. The purpose of this study was to investigate the association of esophageal motor dysfunction and gastric emptying time with symptoms after esophagectomy. METHODS: We performed the esophageal manometry and gastric emptying time after esophagectomy for esophageal cancer in 12 patients and for benign esophageal disease in 2 patients. RESULTS: In manometric studies, a zone of high pressure in the esophago-gastric anastomosis distal to the upper esophageal sphincter was associated with symptoms after esophagectomy. The gastric emptying rate was slowed in 7 out of 14 patients, but not associated with symptoms after esophagectomy. CONCLUSIONS: Our data suggest that a high-pressure zone distal to the upper esophageal sphincter was associated with symptoms after esophagectomy in manometric study. The gastric emptying rate was not associated with postoperative symptoms.
