식도암 환자에서 식도절제술과 위식도문합술에 추가한 위 유문성형술의 유용성
The Necessity of Pyloroplasty after Esophagectomy and Esophagogastrostomy in the Gastric Replacement of the Esophagus
정희석, 김경종, 장정환, 김권천, 김선필, 차윤정, 민영돈,
소속 상세정보
정희석 ( Jeong Hee-Seok )
조선대학교 의과대학 외과학교실
김경종 ( Kim Kyung-Jong )
조선대학교 의과대학 외과학교실
장정환 ( Jang Jeong-Hwan )
조선대학교 의과대학 외과학교실
김권천 ( Kim Kweon-Cheon )
조선대학교 의과대학 외과학교실
김선필 ( Kim Sun-Pil )
조선대학교 의과대학 외과학교실
차윤정 ( Cha Yun-Jeong )
조선대학교 의과대학 외과학교실
민영돈 ( Min Young-Don )
조선대학교 의과대학 외과학교실
KMID : 0371320020630020118
Abstract
Purpose: In treating carcinoma of the esophagus, a gastric drainage procedure seems to be necessary with esophagogastrostomies because of the inevitable incidental bilateral truncal vagotomy which occurs during the esophagectomy. There are
potential hazards with a pyloroplasty such as jeopardizing the blood supply to the mobilized stmach, shortening its length for substitution, leakage, dumping syndrome, and bile reflux gastritis. The aims of the study are to compare the
postoperative
outcome of patients with and without pyloroplasty after an esophagectomy for esophageal cancer, and to evaluate the necessity of pyloroplasty in the vagotomized intrathoracic stomach after esophageal surgery.
Methods: During the years 1996 to 2001, 23 patients with carcinoma of the esophagus underwent an esophagectomy followed by esophagogastrostomy with or without pyloroplasty. The medical records of the patients were evaluated
retrospectively.
Results: There were no statiscally significant differences between the pyloroplasty group and the no-pyloroplasty group with regards to the average hospital stay, resumption of oral feeding, removal of the nasogastric tube, and the daily
gastric
drainage.
Conclusion: Postoperative symptomatic evaluation of patients who had esophageal cancer and underwent an esoph-agectomy and an esophagogastrostomy, with or without pyloroplasty supports the concept that the drainage procedure is unnecessary
in the
gastric replacement of the esophagus.
키워드
식도암; 유문 성형술; 식도절제술; Esophageal cancer; Pyloroplasty; Esophagectomy;
원문 및 링크아웃 정보
등재저널 정보