Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/10134
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Type: Journal article
Title: Motility across esophageal anastomoses after esophagectomy or gastrectomy
Author: Mathew, G.
Myers, J.
Watson, D.
Devitt, P.
Jamieson, G.
Citation: Diseases of the Esophagus, 1999; 12(4):276-282
Publisher: BLACKWELL SCIENCE ASIA
Issue Date: 1999
ISSN: 1120-8694
1442-2050
Statement of
Responsibility: 
G. Mathew, J.C. Myers, D.I. Watson, P.G. Devitt, G.G. Jamieson
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.
Keywords: Humans
Carcinoma, Squamous Cell
Esophageal Neoplasms
Esophageal Motility Disorders
Monitoring, Physiologic
Anastomosis, Surgical
Esophagectomy
Gastrectomy
Postoperative Period
Sensitivity and Specificity
Follow-Up Studies
Manometry
Software
Adult
Aged
Aged, 80 and over
Middle Aged
Female
Male
DOI: 10.1046/j.1442-2050.1999.00072.x
Published version: http://dx.doi.org/10.1046/j.1442-2050.1999.00072.x
Appears in Collections:Aurora harvest 2
Surgery publications

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