Mohajeri Gholamreza, Tabatabaei Seyed Abbas, Hashemi Seyed Mozafar, Hemmati Hamidreza
Department of Thoracic Surgery, Isfahan University of Medical Sciences, Isfahan, Iran.
J Res Med Sci. 2016 May 9;21:33. doi: 10.4103/1735-1995.181993. eCollection 2016.
There are controversies regarding the usefulness of the pyloric drainage methods after esophagectomy as well as differences among various pyloric drainage techniques. Therefore, we compared the outcome of pyloromyotomy, pylorus buginage, and no intervention methods on gastric emptying among patients undergone esophagectomy.
In this randomized clinical trial, patients with diagnosed esophageal cancer or any other benign lesions candidate for esophagectomy were selected. They randomized in three groups with three different approaches for gastric pull-up esophageal surgery including esophagectomy with pyloromyotomy, esophagectomy without intervention, and esophagectomy with pylorus buginage. The outcomes of procedures regarding gastric emptying time and delayed gastric emptying were compared.
Thirty patients were allocated in three groups. Gastric emptying time was not significantly different in the three groups ( > 0.05). Frequency of delayed gastric emptying, complications and barium leakage were not different in three studied groups ( > 0.05).
Gastric emptying time and delayed gastric emptying were not different between common pyloric drainage methods after esophagectomy and esophagectomy without drainage.
食管切除术后幽门引流方法的有效性存在争议，且各种幽门引流技术之间也存在差异。因此，我们比较了接受食管切除术的患者中幽门肌切开术、幽门荷包缝合术和不干预方法对胃排空的影响。
在这项随机临床试验中，选择了被诊断为食管癌或任何其他适合进行食管切除术的良性病变患者。他们被随机分为三组，采用三种不同的方法进行胃上提食管手术，包括食管切除加幽门肌切开术、食管切除不干预以及食管切除加幽门荷包缝合术。比较了三种手术方法在胃排空时间和胃排空延迟方面的结果。
30名患者被分配到三组。三组的胃排空时间无显著差异（P>0.05）。三个研究组在胃排空延迟、并发症和钡剂漏出的发生率方面无差异（P>0.05）。
食管切除术后常见的幽门引流方法与不进行引流的食管切除术相比，胃排空时间和胃排空延迟无差异。
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