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Patients enjoy good quality of life 10 years after esophagectomy and gastric pull-up
Date:3/19/2014

in patients who survived ten or more years after esophagectomy and gastric pull-up was excellent, matching or exceeding population normal values," observes senior investigator Steven R. DeMeester, MD, Professor and Clinical Scholar in the Department of Surgery at the University of Southern California School of Medicine. "The overwhelming majority of our patients were satisfied with their ability to eat and had a body-mass index (BMI) in the normal or overweight range."

The investigators found that gastrointestinal symptoms were typically manageable, although troublesome dumping with meals, diarrhea, or regurgitation occurred in one third of the patients. Most patients had no swallowing problems, 90% were able to eat three or more meals a day, and 93% could finish more than half of a typical-sized meal. Few patients experienced serious complications such as aspiration pneumonia.

"Our findings show that pessimism regarding the long-term ability to enjoy a meal and live with a good quality of life after esophagectomy is unwarranted," continues DeMeester. "This is important because sharing a meal is such an important social event for most people. In fact, you may have eaten dinner at a restaurant next to someone who has had an esophagectomy and never known it." Dr. DeMeester concludes with the caution that "an esophagectomy is a complex procedure and should be done by experienced surgeons at experienced centers to ensure the best outcome".


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Contact: Nicole Baritot
press@aats.org
978-299-4520
American Association for Thoracic Surgery
Source:Eurekalert

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