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Ann Thorac Surg 2005;80:447-448
© 2005 The Society of Thoracic Surgeons

Original article: General thoracic

Invited commentary

Richard G. Berrisford, FRCS(CTh)

Department of Thoracic Surgery, Royal Devon and Exeter NHS Trust, Barrack Rd, Exeter, EX2 5DW UK

(Email: richard.berrisford@rdehc-tr.swest.nhs.uk).

The first 20% of the full text of this article appears below.

Lee and colleagues have highlighted for us the substantial proportion of patients (37.5% overall) whose gastric emptying is significantly delayed after esophagectomy with gastric interposition. Furthermore they have shown that gastric emptying improves with time as the stomach’s physiology recovers from the insult of surgery and vagotomy. Their discussion challenges us to consider the humoral and neural processes involved in gastric emptying, as well as the anatomical rearrangement inherent in gastric interposition.

They conclude that the shape of the stomach does not influence gastric emptying; there was no significant difference . . . [Full Text of this Article]






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