Postoperative hypoxaemia: Oesophagectomy with gastric replacement

Abstract

Pre- and postoperative arterial blood samples were analysed for oxygen partial pressure (PaO2) and carbon dioxide partial pressure (PaCO2) in a consecutive series of 21 patients subjected to two- or three-stage oesophagectomy for carcinoma of the oesophagus. The forced vital capacity (FVC) was measured at the same time. On the second postoperative day the PaO2 showed a fall to 65 per cent of the preoperative value followed by a gradual recovery to 78 per cent on the tenth postoperative day. After 13 weeks the PaO2 had recovered to 95 per cent of the preoperative value. The PaCO2 decreased in the early postoperative period but had returned to the preoperative level by the tenth day. The FVC showed a trend similar to the PaO2 with a reduction to 33 per cent of the preoperative value on the second postoperative day, 52 per cent on the tenth day and 85 per cent after 13 weeks.

Non-invasive ventilation in postoperative patients: a systematic review

“…Respiratory efficiency may be further worsened because of the transposition of the stomach into the chest [71]. The rate of respiratory complications after esophago-gastric resection varies between studies, ranging from 8 to 45% [71][72][73].…”

Physical Function and Quality of Life after Thoracoabdominal Oesophageal Resection

“…The results are, however, of minor clinical relevance since the respiratory system has a large functional reserve and it can be predicted that this deterioration does not restrict the patients’ lives. Other studies have presented data reflecting the patient status beyond the immediate postoperative period [4, 5]. In one of these [4] the patients performed 85% of their preoperative capacity 13 weeks postoperatively, and in the other 75% 6 months after surgery.…”

“…Other studies have presented data reflecting the patient status beyond the immediate postoperative period [4, 5]. In one of these [4] the patients performed 85% of their preoperative capacity 13 weeks postoperatively, and in the other 75% 6 months after surgery. Maruyama et al [5] suggested that a muscle-preserving thoracotomy might induce less surgical stress than standard thoracotomy.…”

“…One of the most immediate consequences of this operation is the dramatic deterioration of the respiratory function, which reaches its lowest values during the first postoperative week [3]. The surgical incisions are pivotal causative factors behind these deficiencies but our understanding of the multitude of pathogenetic mechanisms is far from clear [4,5,6,7]. Although measures can be taken in the immediate postoperative period to prevent some of the components of respiratory distress, it is unclear how and to what degree these patients recover over a longer period of time.…”

Respiratory Movement of the Membranous Part of the Trachea after Thoracic Esophagectomy

“…The effects of thoracic esophagectomy and replacement of the resected esophagus with the colon or stomach on the lung and respiratory function have been reported [4][5][6][7], Recently, a method for preserving the right bronchial artery and pulmonary branches of the right vagus nerve to preserve postoperative respiratory function has been tried [8], However, the alterations in respiratory movement of the membranous part of the trachea follow ing removal of the thoracic esophagus, which might have a role as a supporting tissue to the membranous part of the trachea, have not been described previously. The purpose of this study is to assess the alterations of respiratory movement of the membranous part of the trachea follow ing radical operations for esophageal cancer.…”