Ongoing Controversies in Esophageal Cancer I: Feeding Tubes, Pyloroplasty, Thoracic Duct Clipping

Sidra N Bonner; Ryan Rebernick; Elliot Wakeam

doi:10.1016/j.thorsurg.2022.07.003

Ongoing Controversies in Esophageal Cancer I: Feeding Tubes, Pyloroplasty, Thoracic Duct Clipping

Thorac Surg Clin. 2022 Nov;32(4):541-551. doi: 10.1016/j.thorsurg.2022.07.003.

Authors

Sidra N Bonner¹, Ryan Rebernick², Elliot Wakeam³

Affiliations

¹ Department of Surgery, University of Michigan, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA.
² University of Michigan Medical School, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA.
³ Section of Thoracic Surgery, Department of Surgery, University of Michigan, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA. Electronic address: ewakeam@med.umich.edu.

PMID: 36266039
DOI: 10.1016/j.thorsurg.2022.07.003

Abstract

Reducing perioperative morbidity and mortality following esophagectomy remains central to surgeons' intraoperative decision-making. There remains wide variation in the technical approaches to esophagectomy and the employment of prophylactic strategies to reduce postoperative complications. In this article, we discuss the ongoing controversies related to feeding tube placement, pyloroplasty, and thoracic duct clipping and the evidence regarding these procedures.

Keywords: Chyle leak; Esophageal cancer; Jejunostomy tube; Pyloroplasty; Thoracic duct.

Publication types

Review

MeSH terms

Esophageal Neoplasms* / complications
Esophageal Neoplasms* / surgery
Esophagectomy / methods
Humans
Intubation, Gastrointestinal
Postoperative Complications / prevention & control
Retrospective Studies
Thoracic Duct* / surgery