Document Detail


Evaluation of Dysphagia and Diminished Airway Protection after Three-Field Esophagectomy and a Remedy.
MedLine Citation:
PMID:  23052815     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Recently, reports from the West have indicated three-field lymphadenectomy (3FL) for esophageal cancer increases the accuracy of tumor staging and survival. However, this cervical procedure is likely to lead to swallowing dysfunction and aspiration, which are barriers to introducing this procedure in clinical practice. METHODS: Our goal is to elucidate the etiology of swallowing dysfunction after 3FL and devise a remedy. First, based on evaluation of swallowing function in ten patients with two-field lymphadenectomy (2FL) and ten with 3FL, we hypothesized that the scarred sternohyoid and sternothyroid muscles might be impairing laryngeal elevation after 3FL; thus, complete division of the bilateral infrahyoid muscles attached to the sternum (CDBIMS) could be an effective remedy. Next, the utility of this additive procedure was examined in 20 patients with 3FL. Swallowing function was evaluated by the distance of total laryngeal elevation (TLE) and the frequency of incomplete airway protection (IAP) (laryngeal penetration or aspiration) on videofluoroscopic study. RESULTS: The average TLE and frequency of IAP were, respectively, 0.37 cm and 70 % in the 3FL group, showing significant deterioration (p < 0.001 and 0.025), in contrast to 1.79 cm and 20 % in the 2FL group. The 3FL + CDBIMS group showed significant improvements in the average TLE and the frequency of IAP (1.70 cm and 25 %), compared with the 3FL group (p < 0.001 and 0.018). Multivariate logistic regression identified additive CDBIMS as a significant suppressor of IAP after 3FL. CONCLUSIONS: Laryngeal elevation was significantly impaired after 3FL. Adding CDBIMS might improve swallowing function in these patients.
Authors:
Takushi Yasuda; Masahiko Yano; Hiroshi Miyata; Makoto Yamasaki; Shuji Takiguchi; Yoshiyuki Fujiwara; Yuichiro Doki
Related Documents :
8627905 - Efficacy of balloon angioplasty of the superficial femoral artery and popliteal artery ...
23008885 - Transanal irrigation in the management of neurogenic bowel dysfunction.
9283545 - Balloon angioplasty of recurrent coarctation: a 12-year review.
20097095 - Expanded polytetrafluoroethylene-covered stent treatment of angioplasty-related extrava...
20091615 - Neuraxial anaesthesia for lower-limb revascularization.
20689195 - Clinical features, management and visual outcome of polypoidal choroidal vasculopathy i...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-2
Journal Detail:
Title:  World journal of surgery     Volume:  -     ISSN:  1432-2323     ISO Abbreviation:  World J Surg     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7704052     Medline TA:  World J Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Osaka, Japan, tyasuda@surg.med.kindai.ac.jp.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Effect of Obesity and Decompressive Laparotomy on Mortality in Acute Pancreatitis Requiring Intensiv...
Next Document:  Major Perioperative Morbidity Does Not Affect Long-Term Survival in Patients Undergoing Esophagectom...