Benign or Early Malignant Lesion of the Distal Esophagus or Gastro-esophageal Junction Requiring Surgical Resection
Conditions
Keywords
Merendino procedure, Feasibility, Safety and QoL of the Merendino procedure
Brief summary
The purpose of this study is to analyse retrospectively the early postoperative and functional outcome of patients (pts) after Merendino procedure for benign or early malignant lesions of the distal part of the esophagus or the gastroesophageal junction.
Detailed description
Between 2004 and 2013, 14 pts had transhiatal resection of median 8 (6-10) cm of distal esophagus including the gastroesophageal junction. Locoregional lymphadenectomy was performed in all patients with (suspected) early adenocarcinoma. In case of vagus nerve resection, pyloromyectomy and cholecystectomy were done. A pediculated isoperistaltic jejunal segment of 15-18 cm length was interponed between esophageal stump and remaining stomach by end-to-side anastomoses. At least one postoperative contrast examination of the anastomoses was done in all pts. Quality of life was assessed by using the EORTC QLQ-OES18 survey, recording patients' general activity and condition and specific gastrointestinal symptoms.
Interventions
EORTC and QLQ-C30 / QLQ-OES24 questionnaire was sent to patients to asses QoL after MER or CON procedure
Sponsors
Study design
Eligibility
Inclusion criteria
* alive * MER or CON procedure * informed consent * CON patients were matched according to diagnosis, Age and ASA score
Exclusion criteria
* withdrawal of informed consent * legal incapacity * limitations in mental state or medical condition precluding questioning (only QoL data)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quality of Life (QoL) | up to 10 years after surgery | EORTC QLQ-C30 and QLQ-OES24 questionnaire (global health status item, functional and symptom scale items) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Intraoperative complications | up to 1 day after surgery | Blood loss (ml), requirement for blood transfusion (units), operation time (min) |
| Postoperative complications | up to 100 days after surgery | Morbidity (re-intervention rate, re-operation rate), in-hospital mortality |
Countries
Switzerland