Atrial fibrillation after esophagectomy is a marker for postoperative morbidity and mortality

Murthy, Sudish C.; Law, Simon; Whooley, Brian P.; Alexandrou, Andreas; Chu, Kent‐Man; Wong, John W.

doi:10.1016/s0022-5223(03)00974-7

Cited by 167 publications

(104 citation statements)

References 29 publications

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“…6,[12][13][14][15][16][17] In a general population and in patients with congestive heart failure, according to data from the Framingham Heart Study, atrial fibrillation is associated with increased risk for death. 18,19 However, evidence on the outcome of atrial fibrillation in general ICU patients is limited and somewhat conflicting.…”

mentioning

confidence: 99%

Atrial Fibrillation and Mortality in Critically Ill Patients: A Retrospective Study

Gupta¹,

Tiruvoipati²,

Green³

2015

American Journal of Critical Care

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mentioning

confidence: 99%

Atrial Fibrillation and Mortality in Critically Ill Patients: A Retrospective Study

Gupta¹,

Tiruvoipati²,

Green³

2015

American Journal of Critical Care

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“…There are a few reports on postoperative tachyarrhythmia after open esophagectomy for treating esophageal cancer [10][11][12][13][14]16]. The incidence of tachyarrhythmia after conventional open esophagectomy is observed with a high frequency of 12.5-33 % [5,10,[12][13][14].…”

Section: Discussionmentioning

confidence: 99%

“…Surgical resection for carcinoma of the esophagus and gastric cardia is still arguably one of the most morbid thoracic operations. Although patient selection and improved postoperative care can significantly decrease hospital mortality rates, the morbidity rate remains high [11][12][13][14][15][16]. Tachyarrhythmia is among the most frequent complications of esophagectomy [10,[12][13][14].…”

Section: Introductionmentioning

confidence: 99%

“…Although patient selection and improved postoperative care can significantly decrease hospital mortality rates, the morbidity rate remains high [11][12][13][14][15][16]. Tachyarrhythmia is among the most frequent complications of esophagectomy [10,[12][13][14]. Atrial fibrillation after esophagectomy was reported to be a marker for postoperative morbidity and mortality [11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

“…Tachyarrhythmia is among the most frequent complications of esophagectomy [10,[12][13][14]. Atrial fibrillation after esophagectomy was reported to be a marker for postoperative morbidity and mortality [11][12][13][14]. There is a pivotal barrier in establishing the appropriate treatment regime against postoperative tachyarrhythmia after esophagectomy.…”

Section: Introductionmentioning

confidence: 99%

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Predictive factors for postoperative tachyarrhythmia after thoracoscopic esophagectomy and the usefulness of landiolol hydrochloride for its treatment

et al. 2013

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Background Tachyarrhythmia after esophagectomy is a severe complication that should not be underestimated because of its negative impact. The aims of this study were to clarify the cause and impact of postoperative tachyarrhythmia after thoracoscopic esophagectomy. Additionally, we analyzed the usefulness of landiolol administration for postoperative tachyarrhythmia. Methods We evaluated the predictive factors for tachyarrhythmia onset after surgery and its clinical impact in 127 patients who underwent thoracoscopic esophagectomy with extended lymphadenectomy. Moreover, we analyzed the efficacy of landiolol for postoperative tachyarrhythmia. Results Tachyarrhythmia developed in 38 of the 127 patients. Multivariate analysis showed that advanced age, heart disease, and hyperlipidemia were associated with postoperative tachyarrhythmia. Hyponatremia, hypoalbuminemia, and leukocytosis on postoperative day 3 were significantly associated with tachyarrhythmia onset. The incidence of all complications and respiratory complications, including pneumonia, was significantly higher in patients with than in those without tachyarrhythmia. The mortality rate in the tachyarrhythmia group tended to be higher than that in the nontachyarrhythmia group. Landiolol as a treatment for tachyarrhythmia immediately decreased heart rate and safely reduced subsequent respiratory complications. ConclusionIn elderly patients with cardiac disease or hyperlipidemia, surgeons should be alert for the occurrence of tachyarrhythmia after esophagectomy. Postoperative tachyarrhythmia is a marker of morbidities with particular emphasis on respiratory complications. However, it can be adequately managed by landiolol, resulting in fewer respiratory complications. Landiolol might be a safe and convenient agent for managing postoperative tachyarrhythmia after thoracoscopic esophagectomy, resulting in lower mortality and morbidity rates.

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A Single-Layer, Continuous, Hand-Sewn Method for Esophageal Anastomosis

Law

Suen²,

Wong³

et al. 2005

Arch Surg

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Hypothesis:A 1-layer, continuous technique for esophageal anastomosis after esophagectomy has been in routine use at the University of Hong Kong Medical Centre since 1996. This study aims to document the results of this method and examine factors that may predispose patients to complications associated with esophageal anastomosis.Design: Retrospective study.Setting: University academic surgical center. Patients and Methods:We studied 218 consecutive patients who had an esophageal anastomosis constructed with a 1-layer, continuous technique. Data were prospectively collected.Main Outcome Measures: Morbidity and mortality rates, anastomotic leaks, stricture, and recurrences.Results: Anastomotic leaks affected 7 patients (3.2%), of whom 3 required surgical reexploration and none died. The hospital mortality rate was 0.9% (2 patients), attrib-

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Atrial fibrillation after esophagectomy is a marker for postoperative morbidity and mortality

Abstract: Atrial fibrillation is a surrogate for surgical morbidity and mortality after esophagectomy. The occurrence of atrial fibrillation after esophageal resection should prompt not only the appropriate management of the arrhythmia but also a search for a more ominous underlying cause.

Cited by 167 publications

References 29 publications

Atrial Fibrillation and Mortality in Critically Ill Patients: A Retrospective Study

Atrial Fibrillation and Mortality in Critically Ill Patients: A Retrospective Study

Predictive factors for postoperative tachyarrhythmia after thoracoscopic esophagectomy and the usefulness of landiolol hydrochloride for its treatment

A Single-Layer, Continuous, Hand-Sewn Method for Esophageal Anastomosis

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