کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3316068 1211517 2011 9 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Functional disorders and quality of life after esophagectomy and gastric tube reconstruction for cancer
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری‌های گوارشی
پیش نمایش صفحه اول مقاله
Functional disorders and quality of life after esophagectomy and gastric tube reconstruction for cancer
چکیده انگلیسی

SummaryFunctional disorders such as delayed gastric emptying, dumping syndrome or duodeno-gastro-esophageal reflux occur in half of the patients who undergo esophagectomy and gastric tube reconstruction for cancer. The potential role for pyloroplasty in the prevention of functional disorders is still debated. Antireflux fundoplication during esophagectomy can apparently reduce the reflux but at the cost of increasing the complexity of the operation; it is not widely used. The treatment of functional disorders arising after esophagectomy and gastroplasty for cancer is based mainly on dietary measures. Proton pump inhibitors have well documented efficiency and should be given routinely to prevent reflux complications. Erythromycin may prevent delayed gastric emptying, but it should be used with caution in patients with cardiovascular disorders. In the event of anastomotic stricture, endoscopic dilatation is usually efficient. Problems related to gastrointestinal functional disorders after esophageal resection and gastric tube reconstruction do not significantly impair long-term quality of life, which is mainly influenced by tumor recurrence.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Visceral Surgery - Volume 148, Issue 5, October 2011, Pages e327–e335
نویسندگان
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