Skip to main content
SpringerLink
Log in

Nutritional Support After Surgery of the Esophagus

  • Chapter
  • First Online:
Nutritional Support after Gastrointestinal Surgery

  • 770 Accesses

Abstract

Surgery of the esophagus may be indicated for benign and malignant pathologies. Esophageal cancer represents the most frequent indication for surgical treatment, and the important nutritional concern arisen in relationship between cancer, surgery, and nutritional status of operated oncological patients has been explored by a vast scientific literature. Among benign pathologies indicating surgery involving the esophagus, achalasia has been largely studied, with surgery representing one of several effective therapeutic options.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 54.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. De Dominicis F, Jougon J, Brichon P-Y, Tiffet O, Mouroux J, Porte H, et al. Données actuelles sur la chirurgie œsogastrique pratiquée par les équipes de chirurgie thoracique françaises. J Chirurgie Thoracique et Cardio-Vasculaire. 2014;18(2):103–8.

    Google Scholar 

  2. Lordick F, Mariette C, Haustermans K, Obermannová R, Arnold D. Oesophageal cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2016;27(suppl_5):v50–v7.

    Article  CAS  Google Scholar 

  3. Baker M, Halliday V, Williams RN, Bowrey DJ. A systematic review of the nutritional consequences of esophagectomy. Clin Nutr. 2016;35(5):987–94.

    Article  Google Scholar 

  4. Metzger R, Bollschweiler E, Vallböhmer D, Maish M, DeMeester T, Hölscher A. High volume centers for esophagectomy: what is the number needed to achieve low postoperative mortality? Dis Esophagus. 2004;17(4):310–4.

    Article  CAS  Google Scholar 

  5. Wenner J, Zilling T, Bladström A, Alvegard T, editors. Influence of surgical volume on hospital mortality for cancer of the esophagus and gastric cardia: a national survey in Sweden 1987–96. Proceedings of Book of Abstracts from the European Surgical Association 10th Annual Meeting; 2003.

    Google Scholar 

  6. Raymond D. Complications of esophagectomy. Surg Clin North AM. 2012;92(5):1299–313.

    Article  Google Scholar 

  7. Blencowe NS, Strong S, McNair AG, Brookes ST, Crosby T, Griffin SM, et al. Reporting of short-term clinical outcomes after esophagectomy: a systematic review. Ann Surg. 2012;255(4):658–66.

    Article  Google Scholar 

  8. Poghosyan T, Gaujoux S, Chirica M, Munoz-Bongrand N, Sarfati E, Cattan P. Functional disorders and quality of life after esophagectomy and gastric tube reconstruction for cancer. J Visc Surg. 2011;148(5):e327–e35.

    Article  CAS  Google Scholar 

  9. Berkelmans GH, van Workum F, Weijs TJ, Nieuwenhuijzen GA, Ruurda JP, Kouwenhoven EA, et al. The feeding route after esophagectomy: a review of literature. J Thorac Dis. 2017;9(Suppl 8):S785.

    Article  Google Scholar 

  10. Reim D, Friess H. Feeding challenges in patients with esophageal and gastroesophageal cancers. Gastrointest Tumors. 2015;2(4):166–77.

    Article  Google Scholar 

  11. Steenhagen E, van Vulpen JK, van Hillegersberg R, May AM, Siersema PD. Nutrition in peri-operative esophageal cancer management. Expert Rev Gastroenterol Hepatol. 2017;11(7):663–72.

    Article  CAS  Google Scholar 

  12. Vaezi MF, Pandolfino JE, Vela MF. ACG clinical guideline: diagnosis and management of achalasia. Am J Gastroenterol. 2013;108(8):1238.

    Article  Google Scholar 

  13. Schlottmann F, Luckett DJ, Fine J, Shaheen NJ, Patti MG. Laparoscopic Heller myotomy versus peroral endoscopic myotomy (POEM) for achalasia: a systematic review and meta-analysis. Ann Surg. 2018;267:451–60.

    Article  Google Scholar 

  14. Zaninotto G, Bennett C, Boeckxstaens G, Costantini M, Ferguson M, Pandolfino J, et al. The 2018 ISDE achalasia guidelines. Dis Esophagus. 2018;31(9):doy071.

    Article  Google Scholar 

  15. Richards WO, Torquati A, Holzman MD, Khaitan L, Byrne D, Lutfi R, et al. Heller myotomy versus Heller myotomy with Dor fundoplication for achalasia: a prospective randomized double-blind clinical trial. Ann Surg. 2004;240(3):405.

    Article  Google Scholar 

  16. Petrucciani N, de’Angelis N, Brunetti F. Robotic Toupet fundoplication following Heller myotomy for achalasia (with video). J Visc Surg. 2018;155:427–8.

    Article  CAS  Google Scholar 

  17. Rebecchi F, Giaccone C, Farinella E, Campaci R, Morino M. Randomized controlled trial of laparoscopic Heller myotomy plus Dor fundoplication versus Nissen fundoplication for achalasia: long-term results. Ann Surg. 2008;248(6):1023–30.

    Article  Google Scholar 

  18. Campos GM, Vittinghoff E, Rabl C, Takata M, Gadenstätter M, Lin F, et al. Endoscopic and surgical treatments for achalasia: a systematic review and meta-analysis. Ann Surg. 2009;249:45–57.

    Article  Google Scholar 

  19. Weimann A, Braga M, Carli F, Higashiguchi T, Hübner M, Klek S, et al. ESPEN guideline: clinical nutrition in surgery. Clin Nutr. 2017;36(3):623–50.

    Article  Google Scholar 

  20. Cederholm T, Barazzoni R, Austin P, Ballmer P, Biolo G, Bischoff SC, et al. ESPEN guidelines on definitions and terminology of clinical nutrition. Clin Nutr. 2017;36(1):49–64.

    Article  CAS  Google Scholar 

  21. Bower MR, Martin RC. Nutritional management during neoadjuvant therapy for esophageal cancer. J Surg Oncol. 2009;100(1):82–7.

    Article  Google Scholar 

  22. Haverkort E, Binnekade J, Busch O, van Berge Henegouwen M, De Haan R, Gouma D. Presence and persistence of nutrition-related symptoms during the first year following esophagectomy with gastric tube reconstruction in clinically disease-free patients. World J Surg. 2010;34(12):2844–52.

    Article  CAS  Google Scholar 

  23. Greene CL, DeMeester SR, Worrell SG, Oh DS, Hagen JA, DeMeester TR. Alimentary satisfaction, gastrointestinal symptoms, and quality of life 10 or more years after esophagectomy with gastric pull-up. J Thorac Cardiovasc Surg. 2014;147(3):909–14.

    Article  Google Scholar 

  24. Donohoe CL, McGillycuddy E, Reynolds JV. Long-term health-related quality of life for disease-free esophageal cancer patients. World J Surg. 2011;35(8):1853–60.

    Article  Google Scholar 

  25. Martin L, Lagergren P. Long-term weight change after oesophageal cancer surgery. Br J Surg. 2009;96(11):1308–14.

    Article  CAS  Google Scholar 

  26. Ouattara M, D’Journo XB, Loundou A, Trousse D, Dahan L, Doddoli C, et al. Body mass index kinetics and risk factors of malnutrition one year after radical oesophagectomy for cancer. Eur J Cardiothorac Surg. 2012;41(5):1088–93.

    Article  Google Scholar 

  27. Paik C, Choi MG, Lim C, Park J, Chung W, Lee KM, et al. The role of small intestinal bacterial overgrowth in postgastrectomy patients. Neurogastroenterol Motil. 2011;23(5):e191–e6.

    Article  CAS  Google Scholar 

  28. Al-Hadrani A, Lavelle-Jones M, Kennedy N, Neill G, Sutton D, Cuschieri A, editors. Bile acid malabsorption in patients with post-vagotomy diarrhoea. Ann Chir Gynaecol. 1992;81:351–3.

    Google Scholar 

  29. Huddy JR, Macharg FM, Lawn AM, Preston SR. Exocrine pancreatic insufficiency following esophagectomy. Dis Esophagus. 2013;26(6):594–7.

    Article  CAS  Google Scholar 

  30. Heneghan HM, Zaborowski A, Fanning M, McHugh A, Doyle S, Moore J, et al. Prospective study of malabsorption and malnutrition after esophageal and gastric cancer surgery. Ann Surg. 2015;262(5):803–8.

    Article  Google Scholar 

  31. Haverkort EB, Binnekade JM, de Haan RJ, Busch OR, van Berge Henegouwen MI, Gouma DJ. Suboptimal intake of nutrients after esophagectomy with gastric tube reconstruction. J Acad Nutr Diet. 2012;112(7):1080–7.

    Article  CAS  Google Scholar 

  32. Ryan AM, Rowley SP, Healy LA, Flood PM, Ravi N, Reynolds JV. Post-oesophagectomy early enteral nutrition via a needle catheter jejunostomy: 8-year experience at a specialist unit. Clin Nutr. 2006;25(3):386–93.

    Article  Google Scholar 

  33. National oesophago-gastric cancer audit. Royal College of Surgeons of England; 2012.

    Google Scholar 

  34. Zheng Y-M, Li F, Qi B-J, Luo B, Sun H-C, Liu S, et al. Application of perioperative immunonutrition for gastrointestinal surgery: a meta-analysis of randomized controlled trials. Asia Pac J Clin Nutr. 2007;16(S1):253–7.

    PubMed  Google Scholar 

  35. Montejo JC, Zarazaga A, López-Martı́nez J, Urrútia G, Roqué M, Blesa AL, et al. Immunonutrition in the intensive care unit. A systematic review and consensus statement. Clin Nutr. 2003;22(3):221–33.

    Article  Google Scholar 

  36. Heyland DK, Novak F, Drover JW, Jain M, Su X, Suchner U. Should immunonutrition become routine in critically ill patients? A systematic review of the evidence. JAMA. 2001;286(8):944–53.

    Article  CAS  Google Scholar 

  37. Beale RJ, Bryg DJ, Bihari DJ. Immunonutrition in the critically ill: a systematic review of clinical outcome. Crit Care Med. 1999;27(12):2799–805.

    Article  CAS  Google Scholar 

  38. Heys SD, Walker LG, Smith I, Eremin O. Enteral nutritional supplementation with key nutrients in patients with critical illness and cancer: a meta-analysis of randomized controlled clinical trials. Ann Surg. 1999;229(4):467.

    Article  CAS  Google Scholar 

  39. Patel DA, Naik R, Slaughter JC, Higginbotham T, Silver H, Vaezi MF. Weight loss in achalasia is determined by its phenotype. Dis Esophagus. 2018;31 https://doi.org/10.1093/dote/doy046.

  40. Patel DA, Lappas BM, Vaezi MF. An overview of achalasia and its subtypes. Gastroenterol Hepatol. 2017;13(7):411.

    Google Scholar 

  41. Newberry CA, Vajravelu RK, Lynch KL. Obese achalasia patients are at significant nutritional risk. Gastroenterology. 2017;152(5):S197.

    Article  Google Scholar 

  42. Zifodya JS, Kim HP, Silver HJ, Slaughter JC, Higginbotham T, Vaezi MF. Tu1199 nutritional status of patients with untreated achalasia. Gastroenterology. 2015;148(4):S-819–S-20.

    Article  Google Scholar 

  43. Rohof W, Bredenoord A. Chicago classification of esophageal motility disorders: lessons learned. Curr Gastroenterol Rep. 2017;19(8):37.

    Article  CAS  Google Scholar 

  44. Furuzawa-Carballeda J, Aguilar-León D, Gamboa-Domínguez A, Valdovinos M, Nuñez-Álvarez C, Martín-del-Campo L, et al. Achalasia—an autoimmune inflammatory disease: a cross-sectional study. J Immunol Res. 2015;2015:729217.

    Article  CAS  Google Scholar 

  45. Hungness ES, Teitelbaum EN, Santos BF, Arafat FO, Pandolfino JE, Kahrilas PJ, et al. Comparison of perioperative outcomes between peroral esophageal myotomy (POEM) and laparoscopic Heller myotomy. J Gastrointest Surg. 2013;17(2):228–35.

    Article  Google Scholar 

  46. Salvador R, Pesenti E, Gobbi L, Capovilla G, Spadotto L, Voltarel G, et al. Postoperative gastroesophageal reflux after laparoscopic Heller-Dor for achalasia: true incidence with an objective evaluation. J Gastrointest Surg. 2017;21(1):17–22.

    Article  Google Scholar 

  47. Finan KR, Renton D, Vick CC, Hawn MT. Prevention of post-operative leak following laparoscopic Heller myotomy. J Gastrointest Surg. 2009;13(2):200.

    Article  Google Scholar 

  48. Leeds SG, Burdick J, Ogola GO, Ontiveros E, editors. Comparison of outcomes of laparoscopic Heller myotomy versus per-oral endoscopic myotomy for management of achalasia. Proc (Bayl Univ Med Cent). 2017;30:419–23.

    Google Scholar 

  49. Network UH. University Health Network (UHN). Patient education. Heller Myotomy. 2016.

    Google Scholar 

  50. Rosemurgy A, Villadolid D, Thometz D, Kalipersad C, Rakita S, Albrink M, et al. Laparoscopic Heller myotomy provides durable relief from achalasia and salvages failures after botox or dilation. Ann Surg. 2005;241(5):725.

    Article  Google Scholar 

  51. Frantzides CT, Carlson MA. Atlas of minimally invasive surgery. Philadelphia, PA: Saunders; 2009.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Digestive, Hepatobiliary and Hepatic Transplantation Surgery, Henri Mondor University Hospital, Créteil, France

    Pietro Genova

  2. Centro Disturbi Alimentari Lucera Hospital (FG) ASL Foggia, Foggia, Italy

    Antonio Finaldi

Authors
  1. Pietro Genova
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Antonio Finaldi
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Emergency and Organ Transplant, University of Bari Aldo Moro, Bari, Italy

    Donato Francesco Altomare

  2. Department of Emergency and Organ Transplant, University of Bari Aldo Moro, Bari, Italy

    Maria Teresa Rotelli

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Genova, P., Finaldi, A. (2019). Nutritional Support After Surgery of the Esophagus. In: Altomare, D., Rotelli, M. (eds) Nutritional Support after Gastrointestinal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-16554-3_2

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-16554-3_2

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-16553-6

  • Online ISBN: 978-3-030-16554-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation