Korean J Gastrointest Motil.  2001 Nov;7(2):197-203.

The Study of Manometry and Gastric Emptying Time in Patients after Esophagectomy

• Lee CJ
• Choi SR
• Jee SR
• Kim KJ
• Keum DJ
• Hong KB
• Lee JH
• Han SY
• Choi PJ

Abstract

BACKGROUND/AIMS: Resection of the esophagus for malignant disease or a benign stenosis, has a choice not only of palliative surgery, but also of replacement of the esophagus with a transposed stomach, jejunum, or colon. The first-line method is replacement with a tubulized stomach. The purpose of this study was to investigate the association of esophageal motor dysfunction and gastric emptying time with symptoms after esophagectomy.
METHODS
We performed the esophageal manometry and gastric emptying time after esophagectomy for esophageal cancer in 12 patients and for benign esophageal disease in 2 patients.
RESULTS
In manometric studies, a zone of high pressure in the esophago-gastric anastomosis distal to the upper esophageal sphincter was associated with symptoms after esophagectomy. The gastric emptying rate was slowed in 7 out of 14 patients, but not associated with symptoms after esophagectomy.
CONCLUSIONS
Our data suggest that a high-pressure zone distal to the upper esophageal sphincter was associated with symptoms after esophagectomy in manometric study. The gastric emptying rate was not associated with postoperative symptoms.

Keyword

Esophagectomy; Manometry; Gastric emptying time

MeSH Terms

Colon
Constriction, Pathologic
Esophageal Diseases
Esophageal Neoplasms
Esophageal Sphincter, Upper
Esophagectomy*
Esophagus
Gastric Emptying*
Humans
Jejunum
Manometry*
Palliative Care
Stomach