Loading…
Videofluoroscopic Evaluation in Oropharyngeal Swallowing after Radical Esophagectomy with Lymphadenectomy for Esophageal Cancer
Background: After esophagectomy a swallowing abnormality is the predominant symptom for esophageal cancer. The aims of this study were to examine (i) oropharyngeal swallowing by comparing pre- and post-operative period, and (ii) the relationship between oropharyngeal swallowing and the alimentary re...
Saved in:
Published in: | Anticancer research 2007-11, Vol.27 (6C), p.4249-4254 |
---|---|
Main Authors: | , , , , , , , , , , , , , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Summary: | Background: After esophagectomy a swallowing abnormality is the predominant symptom for esophageal cancer. The aims of this
study were to examine (i) oropharyngeal swallowing by comparing pre- and post-operative period, and (ii) the relationship
between oropharyngeal swallowing and the alimentary reconstruction route after esophagectomy. Patients and Methods: We studied
27 patients in the upright position using videofluoroscopy in the lateral projection. Each patient was studied during 10 mL
barium swallows in the pre- and post-operative period. Results: Of the 27 patients studied, alimentary reconstruction with
the retrosternal route (RS group) was performed in 8 patients, that with posterior mediastinal route (PM group) in 8 patients,
and the intrathoracic (IT group) esophagogastrostomy inside the posterior mediastinum in 11 patients. With regard to the maximal
extent of structural movement, the superior and anterior excursion of the hyoid bone was significantly reduced postoperatively
among all groups. The maximal extent of the cricopharyngeal opening was significantly reduced postoperatively in the RS group,
but not in the IT group. The changes in the peri-operative structural movement were the lowest in the RS group. Conclusion:
A new-onset oropharyngeal swallowing abnormality following retrosternal reconstruction after esophagectomy may have appeared
because the change in the peri-operative movement was the lowest. The results of the swallowing evaluation using videofluoroscopy
suggest that to avoid oropharyngeal swallowing abnormalities the intrathoracic or cervical anastomosis with posterior mediastinal
route should be chosen as reconstruction after esophagectomy if possible. |
---|---|
ISSN: | 0250-7005 1791-7530 |