Motility across esophageal anastomoses after esophagectomy or gastrectomy

George Mathew, Jennifer Myers, David Watson, Peter Devitt, Glyn Jamieson

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

The esophageal motility of 23 patients who underwent esophagectomy or gastrectomy for carcinoma of the esophagus or gastroesophageal junction was recorded daily during the immediate post-operative period for high-pressure transients or other motility disturbances. Patients were divided into three subgroups according to the level of the esophageal anastomosis: group 1, neck (n = 4); group 2, thoracic (n = 14); group 3, diaphragmatic hiatus (n = 5). Peristalsis was absent in all patients studied during ventilation and sedation in the intensive care unit (five patients). Early post-operative esophageal motility after esophageal anastomosis varied somewhat with the length of residual esophagus. With short lengths of residual esophagus, no consistent motility pattern emerged. With longer lengths, early peristaltic activity was evident, but diminished over the first few post-operative days. Esophageal resection and anastomosis is associated with loss of peristalsis in the initial post-operative period, consistent with the concept of an esophageal ileus.
Original languageEnglish
Pages (from-to)276-282
Number of pages7
JournalDiseases of The Esophagus
Volume12
Issue number4
DOIs
Publication statusPublished - 1 Dec 1999
Externally publishedYes

Keywords

  • esophageal motility
  • esophageal
  • gastroesophageal junction
  • carcinoma

Fingerprint Dive into the research topics of 'Motility across esophageal anastomoses after esophagectomy or gastrectomy'. Together they form a unique fingerprint.

  • Cite this