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. 1986 Aug;204(2):114–121. doi: 10.1097/00000658-198608000-00003

Gastric functions in patients with the intrathoracic stomach after esophageal surgery.

N Okada, O Nishimura, T Sakurai, S Tsuchihashi, M Juhri
PMCID: PMC1251250  PMID: 3741002

Abstract

Functions of the stomach placed in the posterior mediastinum after esophagectomy were studied in 20 esophageal carcinoma patients. Seven were long-term survivors who lived more than 5 years after operation, and five of them showed normal fasting serum gastrin levels and good or fair gastric acid secretion. Of 13 patients who had their operations within 3 years before the study, 11 showed high fasting serum gastrin levels and poor gastric acid secretion. The hepatobiliary and alimentary scintigrams with double isotopes demonstrated a time lag between the excretion of the food from the stomach and the excretion of bile into the bowels, regardless of the postoperative periods. Absorption of vitamin B12 was normal in patients who lived more than 2 years after operation. The intraluminal pressure and pH studies in long-term survivors showed that our operative technique, the posterior invagination esophagogastrostomy, was effective in preventing a gastroesophageal reflux in the anastomosis.

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Selected References

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  1. Becker H. D., Reeder D. D., Thompson J. C. Effect of truncal vagotomy with pyloroplasty or with antrectomy on food-stimulated gastrin values in patients with duodenal ulcer. Surgery. 1973 Oct;74(4):580–586. [PubMed] [Google Scholar]
  2. Bell T. K., Lee D. Evaluation of a dual radioisotope urinary excretion test in the diagnosis of pernicious anaemia. Acta Haematol. 1969;42(3):183–187. doi: 10.1159/000208778. [DOI] [PubMed] [Google Scholar]
  3. Bitsch V., Christiansen P. M., Faber V., Rodbro P. Gastric secretory patterns before and after vagotomy. Lancet. 1966 Jun 11;1(7450):1288–1291. doi: 10.1016/s0140-6736(66)91200-1. [DOI] [PubMed] [Google Scholar]
  4. Christiansen P. M., Koster K. H. Histamine-infusion test. Lancet. 1965 Dec 4;2(7423):1189–1190. doi: 10.1016/s0140-6736(65)92598-5. [DOI] [PubMed] [Google Scholar]
  5. Donovan I. A., Owens C., Clendinnen B. G., Griffin D. W., Harding L. K., Alexander-Williams J. Interrelations between serum gastrin levels, gastric emptying and acid output before and after proximal gastric vagotomy and truncal vagotomy and antrectomy. Br J Surg. 1979 Mar;66(3):149–151. doi: 10.1002/bjs.1800660303. [DOI] [PubMed] [Google Scholar]
  6. Fischer J. E., Kragelund E., Nielson A., Wesdorp R. I. Basal and meat extract plasma gastrin before and after parietal cell vagotomy and selective gastric vagotomy with drainage in patients with duodenal ulcer. Ann Surg. 1976 Feb;183(2):167–173. doi: 10.1097/00000658-197602000-00014. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Fukuda M. [Absorption and transport of vitamin B 12]. Rinsho Ketsueki. 1980 Sep;21(9):1273–1285. [PubMed] [Google Scholar]
  8. Johnson H. D., Khan T. A., Srivatsa R., Doyle F. H. The late nutritional and haematological effects of vagal section. Br J Surg. 1969 Jan;56(1):4–9. doi: 10.1002/bjs.1800560103. [DOI] [PubMed] [Google Scholar]
  9. Kimura K. Chronological transition of the fundic-pyloric border determined by stepwise biopsy of the lesser and greater curvatures of the stomach. Gastroenterology. 1972 Oct;63(4):584–592. [PubMed] [Google Scholar]
  10. Konturek S. J., Wysocki A., Oleksy J. Effect of medical and surgical vagotomy on gastric response to graded doses of pentagastrin and histamine. Gastroenterology. 1968 Mar;54(3):392–400. [PubMed] [Google Scholar]
  11. Lam K. H., Lim S. T., Wong J., Lam S. K., Ong G. B. Gastric histology and function in patients with intrathoracic stomach replacement after esophagectomy. Surgery. 1979 Mar;85(3):283–290. [PubMed] [Google Scholar]
  12. MUYSHONDT E., SCHWARTZ S. I. VITAMIN B-12 ABSORPTION FOLLOWING VAGECTOMY AND GASTRIC SURGERY. Ann Surg. 1964 Nov;160:788–792. doi: 10.1097/00000658-196411000-00002. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Meyers W. C., Seigler H. F., Hanks J. B., Thompson W. M., Postlethwait R., Jones R. S., Akwari O. K., Cole T. B. Postoperative function of "free" jejunal transplants for replacement of the cervical esophagus. Ann Surg. 1980;192(4):439–450. doi: 10.1097/00000658-198010000-00002. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Okada N., Kuriyama T., Umemoto H., Komatsu T., Tagami Y. Esophageal surgery: a procedure for posterior invagination esophagogastrostomy in one-stage without positional change. Ann Surg. 1974 Jan;179(1):27–34. doi: 10.1097/00000658-197401000-00006. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Okada N., Tagami Y., Morishita H., Nishimura O., Takimoto M. Reconstruction of the esophagus by posterior invagination esophagogastrostomy. World J Surg. 1977 May;1(3):361–370. doi: 10.1007/BF01556860. [DOI] [PubMed] [Google Scholar]
  16. Ong G. B., Lam K. H., Wong J., Lim T. K. Jejunal esophagoplasty for carcinoma of the esophagus. Jpn J Surg. 1980 Mar;10(1):15–26. doi: 10.1007/BF02468642. [DOI] [PubMed] [Google Scholar]
  17. RHEA W. G., Jr, KILLEN D. A., SCOTT H. W., Jr LONG TERM RESULTS OF PARTIAL GASTRIC RESECTION WITHOUT VAGOTOMY IN DUODENAL ULCER DISEASE. Surg Gynecol Obstet. 1965 May;120:970–974. [PubMed] [Google Scholar]
  18. Soll A. H., Walsh J. H. Regulation of gastric acid secretion. Annu Rev Physiol. 1979;41:35–53. doi: 10.1146/annurev.ph.41.030179.000343. [DOI] [PubMed] [Google Scholar]
  19. Stern D. H., Walsh J. H. Gastrin release in postoperative ulcer patients: evidence for release of duodenal gastrin. Gastroenterology. 1973 Mar;64(3):363–369. [PubMed] [Google Scholar]
  20. Sudo T., Shiraha S., Umemura H., Kawamura M., Ishiyama K., Takemoto M., Shobu R., Okumura S., Kuyama T. [Plasma gastrin and secretin levels in patients with carcinoma of the esophagus before and after operation]. Nihon Geka Gakkai Zasshi. 1984 Mar;85(3):225–230. [PubMed] [Google Scholar]
  21. Toskes P. P., Hansell J., Cerda J., Deren J. J. Vitamin B 12 malabsorption in chronic pancreatic insufficiency. N Engl J Med. 1971 Mar 25;284(12):627–632. doi: 10.1056/NEJM197103252841202. [DOI] [PubMed] [Google Scholar]
  22. Walsh J. H., Csendes A., Grossman M. I. Effect of truncal vagotomy on gastrin release and Heidenhain pouch acid secretion in response to feeding in dogs. Gastroenterology. 1972 Oct;63(4):593–600. [PubMed] [Google Scholar]
  23. Wilbur B. G., Kelly K. A. Effect of proximal gastric, complete gastric, and truncal vagotomy on canine gastric electric activity, motility, and emptying. Ann Surg. 1973 Sep;178(3):295–303. doi: 10.1097/00000658-197309000-00009. [DOI] [PMC free article] [PubMed] [Google Scholar]

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