Influencing factors of postoperative early delayed gastric emptying after minimally invasive Ivor-Lewis esophagectomy

doi:10.12998/wjcc.v7.i3.291

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World Journal of Clinical Cases

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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Observational Study

World J Clin Cases. Feb 6, 2019; 7(3): 291-299
Published online Feb 6, 2019. doi: 10.12998/wjcc.v7.i3.291

Influencing factors of postoperative early delayed gastric emptying after minimally invasive Ivor-Lewis esophagectomy

Lei Huang, Jian-Qiang Wu, Bing Han, Zhi Wen, Pei-Rui Chen, Xiao-Kang Sun, Xiang-Dong Guo, Chang-Ming Zhao

Lei Huang, Jian-Qiang Wu, Bing Han, Zhi Wen, Pei-Rui Chen, Xiao-Kang Sun, Xiang-Dong Guo, Chang-Ming Zhao, Department of Cardiothoracic Surgery, Deyang People's Hospital, Deyang 618000, Sichuang Province, China

Author contributions: Huang L, Wu JQ, Han B, Wen Z, Chen PR, and Sun XK designed the research; Huang L, Han B, Guo XD, and Zhao CM performed the research; Huang L and Wu JQ contributed new reagents/analytic tools; Wen Z, Sun XK, and Guo XD analyzed the data; and Huang L, Wu JQ, Han B, Wen Z, Chen PR, Sun XK, and Zhao CM wrote the paper.

Supported by Science and Technology Support Plan of Sichuan Deyang Technology Bureau, No. 2015SZ023.

Institutional review board statement: This study was reviewed and approved by the Ethics Committee of Deyang People's Hospital.

Informed consent statement: All patients gave informed consent to this study.

Conflict-of-interest statement: The authors declare that they have no competing interests.

Data sharing statement: No additional data are available.

STROBE statement: The authors have read the STROBE Statement, and the manuscript was prepared and revised according to the STROBE Statement.

Corresponding author: Jian-Qiang Wu, MD, Doctor, Department of Cardiothoracic Surgery, Deyang People's Hospital, No. 173, Taishan North Road, Deyang 618000, Sichuan Province, China. drwjq01@deyang_hospital.edu.cn

Telephone: +86-13548257132

Received: November 19, 2018
Peer-review started: November 19, 2018
First decision: December 9, 2018
Revised: December 12, 2018
Accepted: December 14, 2018
Article in press: December 15, 2018
Published online: February 6, 2019
Processing time: 70 Days and 18.8 Hours

Core Tip

Core tip: Esophageal cancer is one of the most common gastrointestinal cancers. Minimally invasive esophageal cancer resection has achieved good results in the early clinical application of esophageal cancer and some advanced esophageal cancer. However, studies have shown that patients with Ivor-Lewis type esophageal cancer resection have a higher incidence of early gastric emptying disorder. This study explored the factors that influence the early onset of delayed gastric emptying after minimally invasive Ivor-Lewis esophageal cancer resection. The results show that advanced age, postoperative anxiety, perioperative hypoalbuminemia, and postoperative hyper-remediation can increase postoperative gastric emptying disorder. The incidence of obstacles affects the quality of life after surgery.