Esophageal Cancer
Conditions
Interventions
Group A
Normal nasogastric tube decompression (decannulation on the 7th postoperative day or at the time of contrast esophagram)
Group B
Short-term nasogastric tube decompression (decannulation on the 1st postoperative day or at the time of extubation )
Sponsors
School of Medicine, Keio University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1) Scheduled for esophagectomy 2) Histologically proven esophageal cancer 3) Scheduled for a curative resection 4) Scheduled for right thoracotomy and laparotomy 5) One stage surgery 6) Gastric conduit is selected for reconstruction 7) Posterior mediatinal route is selected for reconstruction 8) Cervical approach is selected for anastomosis 9) severe complication 10) Written informed consent
Exclusion criteria
Exclusion criteria: 1) Apparent infection and/or inflammation 2) Severe complication 3) During pregnancy or desire to bear children 4) Secondary reconstruction 5) Organ other than stomach is selected for reconstruction 6) Antethoracic route is selected for reconstruction 7) Intrapleural anastomosis 8) Over 35 in BMI 9) Under 17.5 in BMI 10) Attending physician's decision
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of pneumonia | — |
Secondary
| Measure | Time frame |
|---|---|
| Rate of anastomotic leakage, gastrointestinal bleeding Rate of other adverse events Rate of reinsertion of nasogastric tube Rate of recurrent nerve paralysis Swallowing function Respiratory function Postoperative hospital stays | — |
Countries
Japan
Contacts
Public ContactHirofumi Kawakubo
School of Medicine, Keio University Department of Surgery
Outcome results
None listed