Intraoperative Endoscopic Botox Injection During Total Esophagectomy Prevents the Need for Pyloromyotomy or Dilatation.

作者: Hans F. Fuchs , Ryan C. Broderick , Cristina R. Harnsberger , Francisco Alvarez Divo , Alisa M. Coker

DOI: 10.1089/LAP.2015.0575

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摘要: Abstract Background: Esophagectomy may lead to impairment in gastric emptying unless pyloric drainage is performed. Pyloric be technically challenging during minimally invasive esophagectomy and can add morbidity. We sought determine the effectiveness of intraoperative endoscopic injection botulinum toxin into pylorus robotic-assisted as an alternative surgical drainage. Materials Methods: performed a retrospective analysis patients with adenocarcinoma squamous cell carcinoma distal esophagus or gastroesophageal junction who underwent transhiatal (RATE) without any Patients 200 units 10 cc saline (BOTOX group) were compared those that did not receive (noBOTOX group). Main outcome measure was incidence postoperative stenosis; secondary outcomes included ope...

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