Skip to main content
SpringerLink
Log in
Book cover

Surgical Management of Benign Esophageal Disorders pp 49–67Cite as

Surgery for Esophageal Disorders: The Anesthesiologist’s View

  • Chapter
  • First Online:

  • 1086 Accesses

Abstract

The goal of this chapter is to discuss the preoperative evaluation, anesthesia concerns in special situations, and postoperative management of patients presenting for esophageal operations and procedures.

This is a preview of subscription content, 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   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   139.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   109.99
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

Learn about institutional subscriptions

References

  1. Fleischer LA, Beckman JA, Brown KA, Calkins H, Chaikof EL, Fleischmann KE, et al. ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines (Writing committee to revise the 2002 guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery). Circulation. 2007;116:e418–500.

    Article  Google Scholar 

  2. Howell SJ, Sear JW, Foëx P. Hypertension, hypertensive heart disease and perioperative cardiac risk. Br J Anaesth. 2004;92(4):570–83.

    Article  PubMed  CAS  Google Scholar 

  3. Brilakis ES, Orford JL, Fasseas P, Wilson SH, Melby S, Lennon RJ, Berger PB. Outcome of patients undergoing balloon angioplasty in the two months prior to noncardiac surgery. Am J Cardiol. 2005;96(4):512–4.

    Article  PubMed  Google Scholar 

  4. Stone KR, McPherson CA. Assessment and management of patients with pacemakers and implantable cardioverter defibrillators. Crit Care Med. 2004;32(4):S155–65.

    Article  PubMed  Google Scholar 

  5. Fischer SP, Bader AM, Sweitzer BJ. Preoperative evaluation. In: Miller RD, editor. Miller’s anesthesia. Philadelphia: Churchill Livingstone Elsevier; 2010. p. 1052.

    Google Scholar 

  6. Davis CS, Jellish WS, Fisichella PM. Laparoscopic fundoplication with or without pyloroplasty in patients with gastroesophageal reflux disease after lung transplantation: how I do it. J Gastrointest Surg. 2010;14(9):1434–41.

    Article  PubMed  Google Scholar 

  7. Myles PS, Iacono GA, Hunt JO, Fletcher H, Morris J, McIlroy D, Fritschi L. Risk of respiratory complications and wound infection in patients undergoing ambulatory surgery: smokers versus nonsmokers. Anesthesiology. 2002;97(4):842–7.

    Article  PubMed  Google Scholar 

  8. Sørensen LT, Jørgensen T, Kirkeby LT, Skovdal J, Vennits B, Wille-Jørgensen P. Smoking and alcohol abuse are major risk factors for anastomotic leakage in colorectal surgery. Br J Surg. 1999;86(7):927–31.

    Article  PubMed  Google Scholar 

  9. Møller AM, Maaløe R, Pedersen T. Postoperative intensive care admittance: the role of tobacco smoking. Acta Anaesthesiol Scand. 2001;45(3):345–8.

    Article  PubMed  Google Scholar 

  10. Jayr C, Matthay MA, Goldstone J, Gold WM, Wiener-Kronish JP. Preoperative and intraoperative factors associated with prolonged mechanical ventilation. A study in patients following major abdominal vascular surgery. Chest. 1993;103(4):1231–6.

    Article  PubMed  CAS  Google Scholar 

  11. Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144–54.

    Article  PubMed  Google Scholar 

  12. Rodrigo C. The effects of cigarette smoking on anesthesia. Anesth Prog. 2000;47(4):143–50.

    PubMed  CAS  Google Scholar 

  13. National Commission on Sleep Disorders Research. Wake up America: a national sleep alert. Washington, DC: Government Printing Office; 1993. http://www.nhlbi.nih.gov/health/prof/sleep/sleep.txt

  14. Auckley D, Steinel J, Southwell C, Mustafa M. Does screening for sleep apnea with the Berlin Questionnaire predict elective surgery postoperative complications. Sleep. 2003;26:A238–9.

    Google Scholar 

  15. Young T, Evans L, Finn L, Palta M. Estimation of the clinically diagnosed proportion of sleep apnea syndrome in middle-aged men and women. Sleep. 1997;20(9):705–6.

    PubMed  CAS  Google Scholar 

  16. Liao P, Yegneswaran B, Vairavanathan S, Zaki A, Chung F. Respiratory complications among obstructive sleep apnea (OSA) patients who underwent surgery (abstract). Sleep. 2007;30(Suppl):0582.

    Google Scholar 

  17. Gupta RM, Parvizi J, Hanssen AD, Gay PC. Postoperative complications in patients with obstructive sleep apnea syndrome undergoing hip or knee replacement: a case-control study. Mayo Clin Proc. 2001;76(9):897–905.

    PubMed  CAS  Google Scholar 

  18. Chung F, Yegneswaran B, Liao P, Chung SA, Vairavanathan S, Islam S, et al. STOP questionnaire: a tool to screen patients for obstructive sleep apnea. Anesthesiology. 2008;108(5):812–21.

    Article  PubMed  Google Scholar 

  19. Chung F, Elsaid H. Screening for obstructive sleep apnea before surgery: why is it important. Curr Opin Anesthesiol. 2009;22(3):405–11.

    Article  Google Scholar 

  20. Vasu TS, Doghramji K, Cavallazzi R, Grewal R, Hirani A, Leiby B, et al. Obstructive sleep apnea syndrome and postoperative complications: clinical use of the STOP-BANG questionnaire. Arch Otolaryngol Head Neck Surg. 2010;136(10):1020–4.

    Article  PubMed  Google Scholar 

  21. American Society of Anesthesiologists Committee on Standards and Practice Parameters. Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures: an updated report. Anesthesiology. 2011;114(3):495–511.

    Article  Google Scholar 

  22. Sakai T, Planinsic RM, Quinlan JJ, Handley LJ, Kim T-Y, Hilmi IA. The incidence and outcome of perioperative pulmonary aspiration in a university hospital: a 4-year retrospective analysis. Anesth Analg. 2006;103(4):941–7.

    Article  PubMed  Google Scholar 

  23. Neilipovitz DT, Crosby ET. No evidence for decreased incidence of aspiration after rapid sequence induction. Can J Anaesth. 2007;54(9):748–64.

    Article  PubMed  Google Scholar 

  24. Henderson J. Airway management in the adult. In: Miller RD, editor. Miller’s anesthesia. 7th ed. Philadelphia: Churchill Livingstone; 2010. p. 1583.

    Google Scholar 

  25. American Society of Anesthesiologists [Internet]. Standards for basic anesthesia monitoring, Committee of Origin: standards and practice of parameters [amended October 20, 2012, effective date July 1, 2011]. Available from: http://www.asahq.org/For-Members/Clinical-Information/Standards-Guidelines-and-Statements.aspx

  26. Slinger PD, Campos JH. Anesthesia for thoracic surgery. In: Miller RD, editor. Miller’s anesthesia. 7th ed. Philadelphia: Churchill Livingstone; 2010. p. 1836–8, 1839, 1864.

    Google Scholar 

  27. Weng W, DeCrosta DJ, Zhang H. Tension pneumothorax during one-lung ventilation: a case report. J Clin Anesth. 2002;14(7):529–31.

    Article  PubMed  Google Scholar 

  28. Blank RS, Huffmyer JL, Jaeger JM. Anesthesia for esophageal surgery. In: Slinger P, editor. Principles and practice of anesthesia for thoracic surgery. New York: Springer; 2011. p. 435.

    Google Scholar 

  29. Finley RJ, Clifton JC, Stewart KC, Graham AJ, Worsley DF. Laparoscopic heller myotomy improves esophageal emptying and the symptoms of achalasia. Arch Surg. 2001;136(8):892–6.

    Article  PubMed  CAS  Google Scholar 

  30. Higuchi M, Benvenuti LA, Martins Reis M, Metzger M. Pathophysiology of the heart in Chagas’ disease. Current status and new developments. Cardiovasc Res. 2003;60(1):96–107.

    Article  CAS  Google Scholar 

  31. Brinster CJ, Singhal S, Lee L, Marshall MB, Kaiser LR, Kucharczuk JC. Evolving options in the management of esophageal perforation. Ann Thorac Surg. 2004;77(4):1475–83.

    Article  PubMed  Google Scholar 

  32. American Society of Anesthesiologists Task Force on Sedation and Analgesia by Non-Anesthesiologists. Practice guidelines for sedation and analgesia by non-anesthesiologists: a report. Anesthesiology. 2002;96(4):1104–17.

    Google Scholar 

  33. Nguyen ST, Cabrales RE, Bashour CA, Rosenberger TE, Michener JA, Yared JP, Starr NJ. Benzocaine-induced methemoglobinemia. Anesth Analg. 2000;90(2):369–71.

    PubMed  CAS  Google Scholar 

  34. Ebert EC. Esophageal disease in scleroderma. J Clin Gastroenterol. 2006;40(9):769–75.

    Article  PubMed  Google Scholar 

  35. Al-Tarshihi MI, Ghanma IM, Khamash FA, Al Ibrahim AEO. Cardiac complications in the first week post transhiatal esophagectomy for esophageal cancer. JRMS. 2008;15(3):29–33.

    Google Scholar 

  36. Batra MS, Driscoll JJ, Coburn WA, Marks WM. Evanescent nitrous oxide pneumothorax after laparoscopy. Anesth Analg. 1983;62(12):1121–3.

    Article  PubMed  CAS  Google Scholar 

  37. Perel P, Roberts I, Pearson M. Colloids versus crystalloids for fluid resuscitation in critically ill patients. Cochrane Database Syst Rev. 2007(4):CD000567. doi:10.1002/14651858.CD000567.

  38. Lobo DN, Bostock KA, Neal KR, Perkins AC, Rowlands BJ, Allison SP. Effect of salt and water balance on recovery of gastrointestinal function after elective colonic resection: a randomised controlled trial. Lancet. 2002;359(9320):1812–8.

    Article  PubMed  Google Scholar 

  39. Brandstrup B, Tønnesen H, Beier-Holgersen R, Hjortsø E, Ørding H, Lindorff-Larsen K, et al. Effects of intravenous fluid restriction on postoperative complications: comparison of two perioperative fluid regimens: a randomized assessor-blinded multicenter trial. Ann Surg. 2003;238(5):641–8.

    Article  PubMed  Google Scholar 

  40. Holte K, Foss NB, Andersen J, Valentiner L, Lund C, Bie P, Kehlet H. Liberal or restrictive fluid administration in fast-track colonic surgery: a randomized, double-blind study. Br J Anaesth. 2007;99(4):500–8.

    Article  PubMed  CAS  Google Scholar 

  41. Kimberger O, Arnberger M, Brandt S, Plock J, Sigurdsson GH, Kurz A, Hiltebrand L. Goal-directed colloid administration improves the microcirculation of healthy and perianastomotic colon. Anesthesiology. 2009;110(3):496–504.

    Article  PubMed  CAS  Google Scholar 

  42. Gan TJ, Soppitt A, Maroof M, El-Moalem H, Robertson KM, Moretti E, et al. Goal-directed intraoperative fluid administration reduces length of hospital stay after major surgery. Anesthesiology. 2002;97(4):820–6.

    Article  PubMed  Google Scholar 

  43. Rudin Å, Flisberg P, Johansson J, Walther B, Lundberg CJF. Thoracic epidural analgesia or intravenous morphine analgesia following thoraco-abdominal esophagectomy: a prospective follow-up of 201 patients. J Cardiothorac Vasc Anesth. 2005;19(3):350–7.

    Article  PubMed  CAS  Google Scholar 

  44. Brodner G, Pogatzki E, Van Aken H, Buerkle H, Goeters C, Schulzki C, Nottberg H, Mertes N. A multimodal approach to control postoperative pathophysiology and rehabilitation in patients undergoing abdominothoracic esophagectomy. Anesth Analg. 1998;86(2):228–34.

    PubMed  CAS  Google Scholar 

  45. Chandrashekar MV, Irving M, Wayman J, Raimes SA, Linsley A. Immediate extubation and epidural analgesia allow safe management in a high-dependency unit after two-stage oesophagectomy. Results of eight years of experience in a specialized upper gastrointestinal unit in a district general hospital. Br J Anaesth. 2003;90(4):474–9.

    Article  PubMed  CAS  Google Scholar 

  46. Kabon B, Fleischmann E, Treschan T, Taguchi A, Kapral S, Kurz A. Thoracic epidural anesthesia increases tissue oxygenation during major abdominal surgery. Anesth Analg. 2003;97(6):1812–7.

    Article  PubMed  Google Scholar 

  47. Ballantyne JC, Carr DB, de Ferranti S, Suarez T, Lau J, Chalmers TC, Angelillo IF, Mosteller F. The comparative effects of postoperative analgesic therapies on pulmonary outcome: cumulative meta-analyses of randomized, controlled trials. Anesth Analg. 1998;86(3):598–612.

    PubMed  CAS  Google Scholar 

  48. Ahn HJ, Sim WS, Shim YM, Kim JA. Thoracic epidural anesthesia does not improve the incidence of arrhythmias after transthoracic esophagectomy. Eur J Cardiothorac Surg. 2005;28(1):19–21.

    Article  PubMed  Google Scholar 

  49. Yokoyama M, Itano Y, Katayama H, Morimatsu H, Takeda Y, Takahashi T, Nagano O, Morita K. The effects of continuous epidural anesthesia and analgesia on stress response and immune function in patients undergoing radical esophagectomy. Anesth Analg. 2005;101(5):1521–7.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Anesthesiology, The University of Illinois Hospital and Health Sciences System, 1740 W. Taylor Street, Room 3200, Chicago, IL, 60612, USA

    Barbara G. Jericho MD

Authors
  1. Barbara G. Jericho MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Barbara G. Jericho MD .

Editor information

Editors and Affiliations

  1. Loyola University Medical Center, Maywood, Illinois, USA

    P. Marco Fisichella

  2. Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA

    Nathaniel J. Soper

  3. Department of Surgery, University of Washington Medical Center, Seattle, USA

    Carlos A. Pellegrini

  4. Chicago, Illinois, USA

    Marco G. Patti

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag London

About this chapter

Cite this chapter

Jericho, B.G. (2014). Surgery for Esophageal Disorders: The Anesthesiologist’s View. In: Fisichella, P., Soper, N., Pellegrini, C., Patti, M. (eds) Surgical Management of Benign Esophageal Disorders. Springer, London. https://doi.org/10.1007/978-1-4471-5484-6_5

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-5484-6_5

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-5483-9

  • Online ISBN: 978-1-4471-5484-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation