esophageal cancer and esophagogastric junction cancer
Conditions
Interventions
In the esophagectomy and gastric remnant reconstruction, we perfumed new pyroloplasty
modified Horsley.
No pyroloplasty
Sponsors
Teine Keijinkai Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1.Reconstruction by the posterior sternal route 2. No previous laparotomy with high degree of adhesion (e.g., traumatic incision for trauma surgery, duodenal ulcer perforation, or gastrectomy) 3.Age of over 18 years at the time of providing informed consent 4. Eastern Cooperative Oncology Group performance status of 0 or 1 5.Treatment by thoracoscopic or robot-assisted thoracic MIE 6. Abdominal operation by manual laparoscopy or laparoscopy 7. Anastomosis by the cervical anastomosis technique 8. Full understanding of the study and voluntary provision of written consent to participate in the study
Exclusion criteria
Exclusion criteria: 1. Swallowing problems and poor oral intake associated with swallowing dysfunction 2. Weight loss of over 20 percentage within 6 months before surgery 3. Any synchronous active advanced cancer or diseases that affect the nutritional status 4. Medical history of DGE 5. Simultaneous resection for gastric cancer, other pyloroplasty procedures, for example, finger bougie technique, Heineke Mikulicz strictureplasty, or botulinum toxin injection, or Roux en Y reconstruction during the trial 6. Clinical condition inappropriate for participation in this study as judged by patient's physician
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| body weight change at postoperative 6 month | — |
Secondary
| Measure | Time frame |
|---|---|
| Nutritional status(body composition, laboratory data),gastric outlet tube amount, pH and billirubin of gastric outlet tube, oral intake energy, timing of enteral tube removal, pyloric outlet evaluation on postoperative day 7, perioperative complications, quetionare for gastrointestinal symptoms, recurrence free survival | — |
Countries
Japan
Contacts
Public ContactNaoya Okada
Teine Keijinkai Hospital Department of Surgery & Center of Esophageal Center
Outcome results
None listed