Preliminary study on etiologies, treatments and prophylaxis for delayed thoracostomach emptying in post-surgical patients with esophageal or gastric cardiac cancer
10.3760/cma.j.issn.1008-6315.2012.06.010
- VernacularTitle:食管贲门癌术后胸胃排空障碍原因的初步探讨及防治
- Author:
Qiang ZHU
;
Qi ZANG
;
Shijie LI
;
Zhongmin JIANG
;
Xiaoming SONG
- Publication Type:Journal Article
- Keywords:
Esophagealcarcinoma;
Carcinoma of gastric carida;
Delayed thoracostomach emptying
- From:
Clinical Medicine of China
2012;28(6):588-590
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate etiologies,treatment approaches and prophylaxis for delayed thoracostomach emptying in esophageal or gastric cardiac cancer patients treated with esophagogastrostomy.Methods We performed a retrospective review of the clinical data of 24 patients suffering delayed thoracostomach emptying among 1985 post-surgical patients with esophageal or gastric cardiac cancer from January 2000 to June 2011.Results Eighteen patients in the 24 patients were cured by conservative managements including endoscopic dilatation procedures.The remaining 6 patients were treated with surgery.Conclusion The main etiology of delayed thoracostomach emptying is gastroparesis,which can be treated with nonsurgical conservative approaches; whereas mechanical emptying disturbance requires surgery.Endoscopic examination appears to be the most important diagnostic approach in identifying and differentiating the etiologies of delayed thoracostomach emptying in post-surgical patients.Endoscopic dilatation procedure is proved to be effective for the treatment of delayed thoracostomach emptying in post-surgical patients in this study.
