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Nutritional Support After Surgery of the Esophagus

  • Pietro Genova
  • Antonio Finaldi
Chapter

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.

References

  1. 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. 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.CrossRefGoogle Scholar
  3. 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.CrossRefGoogle Scholar
  4. 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.CrossRefGoogle Scholar
  5. 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. 6.
    Raymond D. Complications of esophagectomy. Surg Clin North AM. 2012;92(5):1299–313.CrossRefGoogle Scholar
  7. 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.CrossRefGoogle Scholar
  8. 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.CrossRefGoogle Scholar
  9. 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.CrossRefGoogle Scholar
  10. 10.
    Reim D, Friess H. Feeding challenges in patients with esophageal and gastroesophageal cancers. Gastrointest Tumors. 2015;2(4):166–77.CrossRefGoogle Scholar
  11. 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.CrossRefGoogle Scholar
  12. 12.
    Vaezi MF, Pandolfino JE, Vela MF. ACG clinical guideline: diagnosis and management of achalasia. Am J Gastroenterol. 2013;108(8):1238.CrossRefGoogle Scholar
  13. 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.CrossRefGoogle Scholar
  14. 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.CrossRefGoogle Scholar
  15. 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.CrossRefGoogle Scholar
  16. 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.CrossRefGoogle Scholar
  17. 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.CrossRefGoogle Scholar
  18. 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.CrossRefGoogle Scholar
  19. 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.CrossRefGoogle Scholar
  20. 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.CrossRefGoogle Scholar
  21. 21.
    Bower MR, Martin RC. Nutritional management during neoadjuvant therapy for esophageal cancer. J Surg Oncol. 2009;100(1):82–7.CrossRefGoogle Scholar
  22. 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.CrossRefGoogle Scholar
  23. 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.CrossRefGoogle Scholar
  24. 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.CrossRefGoogle Scholar
  25. 25.
    Martin L, Lagergren P. Long-term weight change after oesophageal cancer surgery. Br J Surg. 2009;96(11):1308–14.CrossRefGoogle Scholar
  26. 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.CrossRefGoogle Scholar
  27. 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.CrossRefGoogle Scholar
  28. 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. 29.
    Huddy JR, Macharg FM, Lawn AM, Preston SR. Exocrine pancreatic insufficiency following esophagectomy. Dis Esophagus. 2013;26(6):594–7.CrossRefGoogle Scholar
  30. 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.CrossRefGoogle Scholar
  31. 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.CrossRefGoogle Scholar
  32. 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.CrossRefGoogle Scholar
  33. 33.
    National oesophago-gastric cancer audit. Royal College of Surgeons of England; 2012.Google Scholar
  34. 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.PubMedGoogle Scholar
  35. 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.CrossRefGoogle Scholar
  36. 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.CrossRefGoogle Scholar
  37. 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.CrossRefGoogle Scholar
  38. 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.CrossRefGoogle Scholar
  39. 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. 40.
    Patel DA, Lappas BM, Vaezi MF. An overview of achalasia and its subtypes. Gastroenterol Hepatol. 2017;13(7):411.Google Scholar
  41. 41.
    Newberry CA, Vajravelu RK, Lynch KL. Obese achalasia patients are at significant nutritional risk. Gastroenterology. 2017;152(5):S197.CrossRefGoogle Scholar
  42. 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.CrossRefGoogle Scholar
  43. 43.
    Rohof W, Bredenoord A. Chicago classification of esophageal motility disorders: lessons learned. Curr Gastroenterol Rep. 2017;19(8):37.CrossRefGoogle Scholar
  44. 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.CrossRefGoogle Scholar
  45. 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.CrossRefGoogle Scholar
  46. 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.CrossRefGoogle Scholar
  47. 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.CrossRefGoogle Scholar
  48. 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. 49.
    Network UH. University Health Network (UHN). Patient education. Heller Myotomy. 2016.Google Scholar
  50. 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.CrossRefGoogle Scholar
  51. 51.
    Frantzides CT, Carlson MA. Atlas of minimally invasive surgery. Philadelphia, PA: Saunders; 2009.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Pietro Genova
    • 1
  • Antonio Finaldi
    • 2
  1. 1.Department of Digestive, Hepatobiliary and Hepatic Transplantation SurgeryHenri Mondor University HospitalCréteilFrance
  2. 2.Centro Disturbi Alimentari Lucera Hospital (FG) ASL FoggiaFoggiaItaly

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