Document Detail

Surgical decision analysis: esophagectomy/esophagogastrectomy with or without drainage?
MedLine Citation:
PMID:  1540069     Owner:  NLM     Status:  MEDLINE    
Decision analysis was used to compare three management strategies for patients undergoing esophagogastrectomy for carcinoma of the esophagus or gastric cardia: drain all patients with either pyloromyotomy or pyloroplasty, drain no patient, or perform a test that stratifies patients into high-risk and low-risk groups for development of gastric outlet obstruction and drain the high-risk group. Results indicate that a "drain all" approach is appropriate in clinical settings where the risk of gastric outlet obstruction is greater than 10%, as long as the drainage procedure is 95% effective. If a test were developed to stratify patients, it would have to have a sensitivity of 80% when its specificity was 100%, and would require a higher sensitivity as the specificity fell below 100%.
J Olak; A Detsky
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  53     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1992 Mar 
Date Detail:
Created Date:  1992-04-01     Completed Date:  1992-04-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  493-7     Citation Subset:  AIM; IM    
Department of Surgery, University of Toronto, Canada.
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MeSH Terms
Decision Support Techniques*
Esophageal Neoplasms / surgery*
Esophagus / surgery*
Postoperative Complications
Risk Factors
Sensitivity and Specificity
Stomach / surgery*
Comment In:
Ann Thorac Surg. 1992 Mar;53(3):373   [PMID:  1540050 ]

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

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