Background: The mainstay of intended curative treatment for esophagus cancer is surgery. Symptoms of gastric outlet obstruction can occur in some patients postoperatively. Some of these patients require alleviating treatment which may include balloon dilatation of the pylorus. The aim of this study was to investigate the use for balloon dilatation of the pylorus following esophagectomy in patients treated for carcinoma of the esophagus with intent to cure. Methods: A retrospective study of 120 patients who underwent esophagectomy with gastric pull-up at Aarhus University Hospital, Denmark, between January 2017 and December 2018 and were followed until December 2020. Primary outcome was number of postoperative balloon dilatations of the pylorus. Results: A total of 63 patients (53%) went through at least 1 balloon dilatation of the pylorus, 40 (63%) needed more than 1 dilatation. The median time between esophagectomy and first dilatation was two months. There was a strong association between squamous cell carcinoma and postoperative dilatation compared to adenocarcinoma (OR=4.13). An association was also seen between ex-smokers and postoperative dilatation compared to non-smokers (OR=3.95). Conclusions: More than fifty percent of the patients needed postoperative balloon dilatation. The need for dilatations was strongest between the second and the ninth postoperative month. A nationwide multicentre study of gastric pull-up patients is needed in the future to develop clinical tools to assess the need for pyloric dilatation.
| Published in | Journal of Surgery (Volume 9, Issue 4) |
| DOI | 10.11648/j.js.20210904.17 |
| Page(s) | 180-187 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Esophagus, Esophageal Cancer, Gastric Pull-up, Endoscopic Treatment, Dilatation
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APA Style
Alexander Bech Rasmussen1, Betina Norman Jepsen, Frederik Hvid-Jensen, Niels Katballe, Daniel Willy Kjaer. (2021). Balloon Dilatation of the Pylorus After Gastric Pull-up in a Single Centre. Journal of Surgery, 9(4), 180-187. https://doi.org/10.11648/j.js.20210904.17
ACS Style
Alexander Bech Rasmussen1; Betina Norman Jepsen; Frederik Hvid-Jensen; Niels Katballe; Daniel Willy Kjaer. Balloon Dilatation of the Pylorus After Gastric Pull-up in a Single Centre. J. Surg. 2021, 9(4), 180-187. doi: 10.11648/j.js.20210904.17
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Download@article{10.11648/j.js.20210904.17,
author = {Alexander Bech Rasmussen1 and Betina Norman Jepsen and Frederik Hvid-Jensen and Niels Katballe and Daniel Willy Kjaer},
title = {Balloon Dilatation of the Pylorus After Gastric Pull-up in a Single Centre},
journal = {Journal of Surgery},
volume = {9},
number = {4},
pages = {180-187},
doi = {10.11648/j.js.20210904.17},
url = {https://doi.org/10.11648/j.js.20210904.17},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20210904.17},
abstract = {Background: The mainstay of intended curative treatment for esophagus cancer is surgery. Symptoms of gastric outlet obstruction can occur in some patients postoperatively. Some of these patients require alleviating treatment which may include balloon dilatation of the pylorus. The aim of this study was to investigate the use for balloon dilatation of the pylorus following esophagectomy in patients treated for carcinoma of the esophagus with intent to cure. Methods: A retrospective study of 120 patients who underwent esophagectomy with gastric pull-up at Aarhus University Hospital, Denmark, between January 2017 and December 2018 and were followed until December 2020. Primary outcome was number of postoperative balloon dilatations of the pylorus. Results: A total of 63 patients (53%) went through at least 1 balloon dilatation of the pylorus, 40 (63%) needed more than 1 dilatation. The median time between esophagectomy and first dilatation was two months. There was a strong association between squamous cell carcinoma and postoperative dilatation compared to adenocarcinoma (OR=4.13). An association was also seen between ex-smokers and postoperative dilatation compared to non-smokers (OR=3.95). Conclusions: More than fifty percent of the patients needed postoperative balloon dilatation. The need for dilatations was strongest between the second and the ninth postoperative month. A nationwide multicentre study of gastric pull-up patients is needed in the future to develop clinical tools to assess the need for pyloric dilatation.},
year = {2021}
}
TY - JOUR T1 - Balloon Dilatation of the Pylorus After Gastric Pull-up in a Single Centre AU - Alexander Bech Rasmussen1 AU - Betina Norman Jepsen AU - Frederik Hvid-Jensen AU - Niels Katballe AU - Daniel Willy Kjaer Y1 - 2021/07/29 PY - 2021 N1 - https://doi.org/10.11648/j.js.20210904.17 DO - 10.11648/j.js.20210904.17 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 180 EP - 187 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20210904.17 AB - Background: The mainstay of intended curative treatment for esophagus cancer is surgery. Symptoms of gastric outlet obstruction can occur in some patients postoperatively. Some of these patients require alleviating treatment which may include balloon dilatation of the pylorus. The aim of this study was to investigate the use for balloon dilatation of the pylorus following esophagectomy in patients treated for carcinoma of the esophagus with intent to cure. Methods: A retrospective study of 120 patients who underwent esophagectomy with gastric pull-up at Aarhus University Hospital, Denmark, between January 2017 and December 2018 and were followed until December 2020. Primary outcome was number of postoperative balloon dilatations of the pylorus. Results: A total of 63 patients (53%) went through at least 1 balloon dilatation of the pylorus, 40 (63%) needed more than 1 dilatation. The median time between esophagectomy and first dilatation was two months. There was a strong association between squamous cell carcinoma and postoperative dilatation compared to adenocarcinoma (OR=4.13). An association was also seen between ex-smokers and postoperative dilatation compared to non-smokers (OR=3.95). Conclusions: More than fifty percent of the patients needed postoperative balloon dilatation. The need for dilatations was strongest between the second and the ninth postoperative month. A nationwide multicentre study of gastric pull-up patients is needed in the future to develop clinical tools to assess the need for pyloric dilatation. VL - 9 IS - 4 ER -
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