The Journal of Thoracic and Cardiovascular Surgery
Volume 137, Issue 3 , Pages 565-572 , March 2009

Is botulinum toxin injection of the pylorus during Ivor–Lewis esophagogastrectomy the optimal drainage strategy?

  • Robert James Cerfolio, MD, FACS, FCCP

      Affiliations

    • Section of Thoracic Surgery, Division of Cardio-Thoracic Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, Ala
    • Corresponding Author InformationAddress for reprints: Robert J. Cerfolio, MD, FACS, FCCP, Division of Cardiothoracic Surgery, University of Alabama at Birmingham, 703 19th St S, ZRB 739, Birmingham, AL 35294.
    • ,
  • Ayesha S. Bryant, MSPH, MD

      Affiliations

    • Division of Cardio-thoracic Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, Ala
    • ,
  • Cheri L. Canon, MD

      Affiliations

    • Department of Radiology, University of Alabama at Birmingham, Birmingham, Ala
    • ,
  • Roopa Dhawan, BS

      Affiliations

    • University of Alabama School of Medicine, University of Alabama at Birmingham, Birmingham, Ala
    • ,
  • Mohamad A. Eloubeidi, MD

      Affiliations

    • Division of Gastroenterology, Department of Medicine, University of Alabama at Birmingham, Birmingham, Ala

Received 23 June 2008 ,Revised 7 August 2008 ,Accepted 30 August 2008.

References 

  1. Cheung HC, Siu KF, Wong J. Is pyloroplasty necessary in esophageal replacement by stomach? A prospective, randomized controlled trial. Surgery. 1987;102:19–24
  2. Urschel JD, Blewett CJ, Young JE, Miller JD, Bennett WF. Pyloric drainage (pyloroplasty) or no drainage in gastric reconstruction after esophagectomy: a meta-analysis of randomized controlled trials. Digest Surg. 2002;19:160–164
  3. Atkins BZ, Shah AS, Hutcheson KA, et al. Reducing hospital morbidity and mortality following esophagectomy. Ann Thorac Surg. 2004;78:1170–1176
  4. Cerfolio RJ, Bryant AS, Bass CS, Alexander JR, Bartolucci AA. Fast tracking after Ivor Lewis esophagogastrectomy. Chest. 2004;126:1187–1194
  5. Patterson GA, Cooper JD, Deslauriers Lerat AE, Luketich JD, Rice TW. Esophagetomy via right thoracotomy. vol 2. 3rd ed.. Philadelphia, PA: Churchill Livingstone; 2008;p. 590-6
  6. McKeown KC. Total three-stage oesophagectomy for cancer of the oesophagus. Br J Surg. 1976;63:259–262
  7. National Institute of Health. Common terminology criteria for adverse events (CTCAE) v. 3.0; 2003:56-8.
  8. Soreide JA, Soreide K. Heineke-Mikulicz, Finney. Pylorplasty. In: Operative techniques in general surgery. Vol. 5. p. 65-72.
  9. Blasi J, Chapman ER, Link E, et al. Botulinum toxin A selectively cleaves the synaptic protein SNAP-25. Nature. 1993;365:160–163
  10. MacKenzie I, Burnstock G, Dolly JO. The effects of purified botulinum neurotoxin type A on cholinergic, adrenergic and non-adrenergic, atropine-resistant autonomic neuromuscular transmission. Neuroscience. 1982;7:997–1006
  11. Pasricha PJ, Ravich WJ, Hendrix TR, Kaloo AV. Intrasphincteric botulinum toxin for the treatment of achalasia. N Engl J Med. 1995;332:774–778
  12. Ezzedine D, Jit R, Katz N, Gopalswamy N, Bhutani MS. Pyloric injection of botulinum toxin for treatment of diabetic gastroparesis. Gastrointest Endosc. 2002;55:920–923
  13. Miller LS, Szych GA, Kantor SB, et al. Treatment of idiopathic gastroparesis with injection of botulinum toxin into the pyloric sphincter muscle. Am J Gastroenterol. 2002;97:1653–1660
  14. Fok M, Cheng SW, Wong J. Pyloroplasty versus no drainage in gastric replacement of the esophagus. Am J Surg. 1991;162:447–452
  15. Ong GB, Kwong KH. The Lewis-Tanner operation for cancer of the oesophagus. J R Coll Surg Edinb. 1969;14:3–19
  16. Mannell A, McKnight A, Esser JD. Role of pyloroplasty in the retrosternal stomach: results of a prospective, randomized, controlled trial. Br J Surg. 1990;77:57–59
  17. Zieren HU, Muller JM, Jacobi CA, Pichmaier L. Should a pyloroplasty be carried out in stomach transposition after subtotal esophagectomy with esophago-gastric anastomosis at the neck? A prospective randomized study. Chirurg. 1995;66:319–332
  18. Low DE. Esophageal resection: improved outcomes associated with a diversified approach. Abstract read at: 31st Annual Meeting of the Western Thoracic Surgical Association; June 22–25, 2008; Victoria, British Columbia, Canada.
  19. Palmes D, Weilinghoff M, Colombo-Benkmann M, Senninger N, Bruewer M. Effect of pyloric drainage procedures on gastric passage and bile reflux after esophagectomy with gastric conduit reconstruction. Langenbecks Arch Surg. 2007;392:135–141
  20. Donington JS. Functional conduit disorders after esophagectomy. Thorac Surg Clin. 2006;16:53–62

 Read at the Thirty-fourth Annual Meeting of the Western Thoracic Surgical Association, Kona, Hawaii, June 25–28, 2008.

PII: S0022-5223(08)01471-2

doi: 10.1016/j.jtcvs.2008.08.049

The Journal of Thoracic and Cardiovascular Surgery
Volume 137, Issue 3 , Pages 565-572 , March 2009

Article Tools