Acta Scientific Gastrointestinal Disorders (ASGIS)(ISSN: 2582-1091)

Research Article Volume 7 Issue 4

Outcomes of a Randomised Controlled Trial (Feasibility Study) of Prophylactic Pyloric Balloon Dilatation during Ivor Lewis Esophagectomy to Prevent Delayed Gastric Emptying

Mohamed Abdelrahman1*, Helen Neilens2, Victoria Yates2, Amber Lorde2, Arun Ariyarathenam1, Richard Berrisford1, Grant Sanders1, Lee Humphreys1, Grant Sanders1, Ji Tham1, Tim Wheatley1 and David SY Chan1

1Department of Upper GI Surgery, Derriford Hospital, Plymouth, United Kingdom
2Department of Research and Development, Derriford Hospital, Plymouth, United Kingdom

*Corresponding Author: Mohamed Abdelrahman, Department of Upper GI Surgery, Derriford Hospital, Plymouth, United Kingdom.

Received: March 19, 2024; Published: March 28, 2024

Abstract

Early delayed gastric emptying (DGE) occurs in up to 37% of patients following esophagectomy. This can contribute to increased anastomotic leak and respiratory infection rates. Although the treatment of DGE in the form of pyloric balloon dilatation (PBD) post-operatively is well established, there is no consensus on the optimal approach in the prevention of DGE. The aim of this study was to determine the feasibility of a randomised controlled trial comparing prophylactic pyloric balloon dilatation (PBD) to no intervention (control group) on the rates of delayed gastric emptying (DGE). All 20 patients approached were successfully randomised (PBD: n=10, Control: n=10). All outcome measures were successfully measured. This study opens the door for a future full RCT study comparing the effect on outcomes of DGE, between prophylactic PBD and no intervention in patients undergoing esophagectomy.

Keywords: Feasibility Study; Prophylactic Pyloric; Balloon Dilatation; Ivor Lewis; Esophagectomy; Gastric Emptying

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Citation

Citation: Mohamed Abdelrahman., et al. “Outcomes of a Randomised Controlled Trial (Feasibility Study) of Prophylactic Pyloric Balloon Dilatation during Ivor Lewis Esophagectomy to Prevent Delayed Gastric Emptying". Acta Scientific Gastrointestinal Disorders 7.4 (2024): 16-21.

Copyright

Copyright: © 2024 Mohamed Abdelrahman., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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