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Effect of pyloroplasty on clinical outcomes following esophagectomy.
Surg Endosc
January 2025
Department of Upper Gastrointestinal Surgery, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, S5 7AU, UK.
Introduction: The role of concurrent pyloroplasty with esophagectomy is unclear. Available literature on the impact of pyloroplasty during esophagectomy on complications and weight loss is varied. Data on the need for further pyloric intervention are scarce.
View Article and Find Full Text PDFIntraoperative pyloric drainage is unnecessary during esophagectomies: a meta-analysis and systematic review of randomized controlled trials.
Pathol Oncol Res
August 2024
Department of Surgery, Clinical Center, Medical School, University of Pécs, Pécs, Hungary.
Article Synopsis
- * A review of nine randomized controlled trials (RCTs) involving 529 patients indicated no significant differences in mortality, anastomosis leakage, respiratory issues, or vomiting, though results regarding gastric emptying time (GET) presented mixed findings.
- * The study suggests that pyloric drainage is not essential in these operations, but emphasizes the need for further research, especially in European contexts, to draw more definitive conclusions.
Risk factors for and treatment of anastomotic strictures after Ivor Lewis esophagectomy.
Surg Endosc
November 2024
Department of Upper Gastrointestinal Surgery, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, S5 7AU, UK.
Introduction: Anastomotic strictures following esophagectomy occur frequently and impact on nutrition and quality of life. Although strictures are often attributed to ischemia and anastomotic leaks, the role of anastomosis size and pyloroplasty is not well evaluated. Our study aims to assess the rate of and risk factors for anastomotic stricture following esophagectomy, and the impact of treatment with regular endoscopic balloon dilatations.
View Article and Find Full Text PDFIntra-operative pyloric BOTOX injection versus pyloric surgery for prevention of delayed gastric emptying after esophagectomy.
Surg Endosc
October 2024
Department of Gastrointestinal Oncology, H. Lee Moffitt Cancer Center & Research Institute, 12902 USF Magnolia Drive, Tampa, FL, 33612, USA.
Background: Delayed gastric emptying (DGE) is a common complication after esophagectomy. BOTOX injections and pyloric surgeries (PS), including pyloroplasty (PP) and pyloromyotomy (PM), are performed intraoperatively as prophylaxis against DGE. This study compares the effects of pyloric BOTOX injection and PS for preventing DGE post-esophagectomy.
View Article and Find Full Text PDFEfficacy of gastric stimulator as an adjunct to pyloroplasty for gastroparesis: characterizing patients suitable for single procedure vs dual procedure approach.
J Gastrointest Surg
November 2024
Foregut Division, Surgical Institute, Allegheny Health Network, Pittsburgh, PA, United States; Chevalier Jackson Research Foundation, Esophageal Institute, Western Pennsylvania Hospital, Pittsburgh, PA, United States; Department of Surgery, Drexel University, Philadelphia, PA, United States. Electronic address:
Background: Pyloroplasty is an effective surgery for gastroparesis. However, some patients fail to improve after pyloric drainage and may require subsequent gastric electric stimulation. There is a paucity of data on the efficacy of gastric stimulator as an adjunct to failed pyloroplasty.
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