OUTCOMES OF SUBTOTAL STOMACH RECONSTRUCTION WITH ESOPHAGECTOMY FOR ESOPHAGEAL CANCER: AN ANALYSIS OF ANASTOMOTIC COMPLICATIONS AND POSTOPERATIVE QUALITY OF LIFE
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Keywords
Anastomotic Leakage, Oesophagal Surgery, Quality Of Life, Reconstruction, Subtotal Stomach
Abstract
Objective: This retrospective, study aimed to evaluate the safety and feasibility of subtotal stomach (SS) reconstruction with esophagectomy for patients with esophageal cancer (EC), focusing on anastomotic leakage rates and postoperative quality of life (QOL).
Methods: Between January 2012 and September 2023, 320 patients underwent esophagectomy for EC with SS reconstruction. The primary endpoint was the incidence of anastomotic leakage. Secondary endpoints included postoperative morbidities, QOL assessment, and changes in body weight and skeletal muscle mass.
Results: Anastomotic leakage occurred in only two patients (0.67%), while pneumonia was observed in nine patients (3.0%). Fifteen patients (5.0%) experienced anastomotic stenosis necessitating bougienage. Nausea was reported in 11 patients (3.7%), and dumping syndrome in seven patients (2.3%). Dysphagia and early satiety scores were initially elevated post-surgery but gradually improved after six months. Reflux symptom scores showed favorable outcomes. Over five years, there was an average decrease in body weight of -2 ± 3.71 kg (P = .071).
Conclusion: Reconstruction using SS demonstrated a low incidence of anastomotic leakage and favorable postoperative QOL outcomes in patients undergoing EC surgery. This approach holds promise for improving patient outcomes and minimizing complications associated with EC surgery.
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Fauwaz Fahad Alrashid
Associate Professor, Department of Surgery, College of Medicine, Ha’il University
Dr. Sanober Baloch
General Surgery Resident, LUMHS Jamshoro, Pakistan,
Ahmed Samir Abdelmageed Mohamed Elfiki
Internal Medicine Specialist and Resident in Egyptian Board 3rd Year, Department of
Internal Medicine, Graduated from Cairo University, Master's Degree Ain Sham University, Egypt,
Amgad Samir Abdelmageed Mohamed Elfeki
Internal Medicine Resident in Egyptian Board 3rd Year, Department of Internal Medicine, Graduated From Cairo University, Egypt,
Dr. Atif Hussain
Associate Professor, Department of Anatomy, Women Medical College, Abbottabad, Pakistan,