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New Technology

Invited Commentary

22 River Reach Way, Charleston, SC 29407-3372

(Email: jrubin@knology.net).

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Disruption of the gastrointestinal autonomic nervous system after esophagogastrectomy causes myriad difficulties that affect recovery and lifestyle. Atony of the gastric remnant transposed to the chest is a vexing and an all too common problem. The aperistaltic, distended gastric remnant becomes a reservoir of fluid and electrolyte loss, bacterial growth, and a source of pulmonary aspiration. If that is not enough, dumping syndrome and disorders of intestinal motility may follow on the heels of early woes caused by a paralyzed residual stomach.

In 1998, McCallum and colleagues [1] used multiple . . . [Full Text of this Article]

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