Relation between functional dysphagia and vocal cord palsy after transhiatal oesophagectomy.

The European journal of surgery = Acta chirurgica Pub Date : 2000-03-01 DOI:10.1080/110241500750009285

J P Pierie, S Goedegebuure, F A Schuerman, P Leguit

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引用次数: 14

Abstract

Objective: To assess the incidence, natural course, and possible pathogenesis of dysphagia that is not caused by anastomotic stricture, after transhiatal oesophagectomy and gastric tube reconstruction.

Design: Prospective study.

Setting: District teaching hospital, The Netherlands.

Subjects: 22 patients who had transhiatal oesophagectomy and gastric tube reconstruction for cancer.

Main outcome measures: Incidence of dysphagia that is not caused by anastomotic stricture one week after operation, and presence of this functional dysphagia and correlation with vocal cord palsy at 4, 8, 12, and 16 weeks postoperatively.

Results: The incidence of functional dysphagia was 7 out of 22 (32%); it was self-limiting in 5 out of 7 (71%) of the cases and associated with the incidence of vocal cord palsy (p = 0.0006).

Conclusion: Functional dysphagia after transhiatal oesophagectomy occurs frequently, but is self-limiting in most patients. Injury to branches of the recurrent laryngeal nerve is a likely cause.

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食道切除术后功能性吞咽困难与声带麻痹的关系。

目的:探讨经食管切除胃管重建术后非吻合口狭窄引起的吞咽困难的发生率、自然病程及可能的发病机制。设计:前瞻性研究。地点:荷兰地区教学医院。对象:22例因肿瘤行经食管切除胃管重建术的患者。主要观察指标:术后1周非吻合口狭窄引起的吞咽困难的发生率，术后4、8、12、16周功能性吞咽困难的存在与声带麻痹的相关性。结果:22例患者中功能性吞咽困难发生率为7例(32%);7例中有5例(71%)为自限性，并与声带麻痹的发生率相关(p = 0.0006)。结论:食道切除术后功能性吞咽困难发生率高，但多数患者可自我限制。喉返神经分支的损伤是一个可能的原因。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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The European journal of surgery = Acta chirurgica

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