Function of the Intrathoracic Stomach

  • A. H. Hölscher
  • H. Voit
  • J. R. Siewert
  • G. Buttermann
Conference paper

Abstract

The procedure of first choice for esophageal replacement is gastric interposition [1]. Preparation of the stomach as an esophageal substitute causes severe changes in gastric blood supply, reservoir, parietal cell mass, innervation, form, and localization. The surgical procedures have effects on gastric secretion, motility, gastric emptying, and gastroesophageal and duodenogastric reflux. In this study these effects were investigated to better comprehend postoperative morbidity and to evaluate the function of the intrathoracic stomach in comparison to other organs for esophageal replacement.

Keywords

Adenocarcinoma Hull Esophagitis Pentagastrin 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Akiyama H, Miyazono H, Tsurumaru M, Hashimoto C, Kawamura T (1978) The use of the stomach as an esophageal substitute. Ann Surg 188:606–610PubMedCrossRefGoogle Scholar
  2. 2.
    Heidenreich P, Vogt H, Eisenberger AS, Wölfle KD (1982) Diagnostik des duodenogastralen Refluxes mit 99m Tc-HIDA. Methode und Ergebnisse nach selektiver proximaler Vagotomie (SPV) und Pyloroplastik. Nuklearmediziner 2/5:83–94Google Scholar
  3. 3.
    Huang GJ, Zhang BC, Zhang DW (1985) A comparative study of resection of carcinoma of the esophagus with and without pyloroplasty. In: DeMeester TR, Skinner DB (eds) Esophageal disorders: pathophysiology and therapy. Raven, New YorkGoogle Scholar
  4. 4.
    Lam KH, Lim STK, Wong J, Lam SK, Ong GB (1979) Gastric histology and function in patients with intrathoracic stomach replacement after esophagectomy. Surgery 85/3:283–290PubMedGoogle Scholar
  5. 5.
    Mannell A, Hinder RA, San-Garde BA (1984) The thoracic stomach: a study of gastric emptying, bile reflux and mucosal change. Br J Surg 71:838–841Google Scholar
  6. 6.
    Okada M, Nishimura O, Sakurai T, Tsuchihashi S, Juhri M (1986) Gastric functions in patients with intrathoracic stomach after esophageal surgery. Ann Surg 204:114–121PubMedCrossRefGoogle Scholar
  7. 7.
    Russell COH, Hill LD, Holmes ER III, Hull DA, Gannon R, Pope CE II (1981) Radionuclide transit: a sensitive screening test for esophageal dysfunction. Gastroenterology 80:887–892PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1988

Authors and Affiliations

  • A. H. Hölscher
    • 1
  • H. Voit
    • 1
  • J. R. Siewert
    • 1
  • G. Buttermann
    • 2
  1. 1.Department of SurgeryTechnical University of MunichMunichFederal Republic of Germany
  2. 2.Department of Nuclear MedicineTechnical University of MunichMunichFederal Republic of Germany

Personalised recommendations