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Related Experiment Videos

Pharyngeal dysfunction after total and subtotal oesophagectomy.

G M Hambraeus1, O Ekberg, R Fletcher

  • 1Department of Thoracic Surgery, University Hospital, Lund, Sweden.

Acta Radiologica (Stockholm, Sweden : 1987)
|July 1, 1987
PubMed
Summary

Pharyngeal dysfunction and aspiration are common after esophageal removal and cervical anastomosis. Patients require careful evaluation of swallowing function before eating freely to prevent complications.

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Area of Science:

  • Otolaryngology
  • Gastroenterology
  • Surgical Oncology

Background:

  • Esophageal cancer and benign conditions often necessitate esophagectomy.
  • Cervical anastomosis is a common reconstruction method following esophagectomy.
  • Swallowing difficulties can arise post-esophagectomy, impacting patient quality of life.

Purpose of the Study:

  • To evaluate pharyngeal function in patients after esophagectomy with cervical anastomosis.
  • To identify the incidence of pharyngeal dysfunction and aspiration post-surgery.
  • To inform clinical practice regarding pre-feeding assessments in these patients.

Main Methods:

  • Cineradiography was employed to assess pharyngeal function.
  • The study included 9 patients who underwent esophagectomy and cervical anastomosis.

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  • Pharyngeal function and the presence of aspiration were the primary outcomes measured.

    • Main Results:

    • Pharyngeal dysfunction was observed in all 9 patients studied.
    • Aspiration occurred in 8 out of the 9 patients (89%).
    • Significant swallowing impairment was evident post-reconstruction.

    Conclusions:

    • Pharyngeal dysfunction and aspiration are frequent complications following esophageal reconstruction with cervical anastomosis.
    • Pre-operative assessment of pharyngeal function is crucial before allowing free eating.
    • Clinicians must consider these potential complications during the planning and management of patients undergoing esophageal reconstruction.