Su Yushuang, Li Yan, Chen Zhongbin, Gao Hong, He Yaxie, Li Xiaohua, Zeng Xiaying, Lan Wei, Yang Qin
Department of Thoracic Surgery, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Department of Nephrology, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Medicine (Baltimore). 2025 Jan 17;104(3):e41214. doi: 10.1097/MD.0000000000041214.
Esophageal cancer is a relatively common malignant tumor of the digestive tract. Patients with esophageal cancer show a high incidence of aspiration after surgery, which has a serious impact on their prognosis and rehabilitation. Nevertheless, while existing and past endeavors have concentrated on enhancing the diagnostic and therapeutic strategies for esophageal cancer, the necessity of preventing pneumonia caused by postoperative aspiration remains to be adequately addressed. We compiled the presently published literature and offer the latest developments on the causes of postoperative aspiration in patients with esophageal cancer, screening methods, and swallowing assessment tools. Relevant published papers were collected through a search of the China national knowledge infrastructure, Ovid EMBASE, Web of Science, Cochrane, and PubMed databases. There are various methods for assessing swallowing function after surgery for esophageal cancer. Clinically, it is necessary to select appropriate assessment tools for the swallowing function. Research indicates that the application of risk prediction models can better assess aspiration in patients after esophageal cancer surgery, bridge gaps in qualitative analysis, and alter the clinical outcomes of patients. Predictive models for dysphagia screening in patients after esophagectomy have significant clinical advantages and exhibit good clinical applicability.
食管癌是一种相对常见的消化道恶性肿瘤。食管癌患者术后误吸发生率较高,这对其预后和康复有严重影响。然而,尽管现有及以往的努力都集中在提高食管癌的诊断和治疗策略上,但预防术后误吸所致肺炎的必要性仍有待充分解决。我们汇编了目前已发表的文献,并提供了食管癌患者术后误吸原因、筛查方法及吞咽评估工具的最新进展。通过检索中国知网、Ovid EMBASE、Web of Science、Cochrane和PubMed数据库收集相关已发表论文。食管癌手术后吞咽功能评估方法多样。临床上,有必要为吞咽功能选择合适的评估工具。研究表明,风险预测模型的应用能更好地评估食管癌手术后患者的误吸情况,弥合定性分析中的差距,并改变患者的临床结局。食管切除术后患者吞咽困难筛查的预测模型具有显著的临床优势,且临床适用性良好。