Complications of Esophageal Resection

Paul, Subroto; Altorki, Nasser K.

doi:10.1002/9781444307580.ch10

Complications in Cardiothoracic Surgery 2009

DOI: 10.1002/9781444307580.ch10

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Complications of Esophageal Resection

Subroto Paul

Nasser K. Altorki

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2019

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“…The pathophysiology and symptoms of postesophageal reconstruction GE reflux are similar to those of GE reflux disease 9 . Accordingly, based on the findings reported in previous studies, 18–22 the present study utilizes a specially designed wedge-shaped pillow (WSP) that reduce the drawbacks of piling up of pillows, which increases abdominal pressure and exaggerates the reflux symptom.…”

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confidence: 89%

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Effect of Head-of-Bed Elevation on Nocturnal Reflux Symptoms of Esophageal Cancer Patients With Esophagectomy and Reconstruction

et al. 2019

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Background Studies revealed the symptom of gastroesophageal reflux (GE reflux) disturb patients following esophageal reconstruction. Objective To examine the effect of head-of-bed elevation by using the wedge-shaped pillow (WSP) on the reflux symptoms of patients with esophageal cancer following esophagectomy and reconstruction. Methods Fourteen patients with nocturnal reflux symptoms following esophagectomy and gastric tube reconstruction were enrolled and randomized into 2 groups. A 2-week crossover trial was performed using 2 sequences (drug only and drug plus WSP). The WSP was designed with a height of 20 cm, a length of 62 cm, and an elevation angle of 20 degrees and used with fabricated from memory foam. After 2 weeks, all of the patients received combined drug and WSP intervention for 3 months. Reflux symptoms were measured by Dysfunction After Upper Gastrointestinal Surgery for Cancer and examined by endoscopic observations prior to intervention and follow-up for 3 months. Result The average reflux symptom score for the combined drug and WSP treatment in the beginning 2 weeks was lower than that for the drug-only sequence. The severity of esophagitis was improved in 46.1%, and 38.5% showed a stabilization after 3 months. Conclusions Combined drug and WSP treatment may be beneficial in improving GE reflux symptoms. Implications for Practice Nursing care professionals would suggest patients find a similar WSP to elevate the head of the bed to reduce the severity of nocturnal reflux symptoms after esophagectomy and gastric tube reconstruction.

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confidence: 89%

“…Patients with esophageal reconstruction are usually treated with proton-pump inhibitors (PPIs) 9 . However, long-term PPI treatment may lead to osteoporosis and Clostridium difficile infection 10 .…”

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confidence: 99%

Effect of Head-of-Bed Elevation on Nocturnal Reflux Symptoms of Esophageal Cancer Patients With Esophagectomy and Reconstruction

et al. 2019

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Complications of Esophageal Resection

Cited by 1 publication

References 100 publications

Effect of Head-of-Bed Elevation on Nocturnal Reflux Symptoms of Esophageal Cancer Patients With Esophagectomy and Reconstruction

Effect of Head-of-Bed Elevation on Nocturnal Reflux Symptoms of Esophageal Cancer Patients With Esophagectomy and Reconstruction

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