Total laryngopharyngoesophagectomy with gastric transposition reconstruction: review of long-term swallowing outcomes.

A. M. Kelly, M. J. Drinnan, L. Savy, D. J. Howard

Research output: Contribution to journalArticlepeer-review

Abstract

Aim:
The aim of this review was to examine long-term swallowing and eating outcomes following laryngopharyngoesophagectomy with gastric pull-up reconstruction.

Methods:
Ten patients underwent clinical examination and completed the performance status scale for head and neck questionnaire and also a gastric pull-up swallowing questionnaire designed for this review. Nine of the 10 patients underwent videofluoroscopic examination of swallowing.

Results:
One patient had a stricture at the orogastric anastomosis, and one patient had bilateral tongue immobility secondary to XIIth nerve palsies. Eight participants reported eating a normal diet, and five reported not limiting their eating environment. Regurgitation, slower eating and reduced capacity were the most common functional limitations.

Conclusions:
These results support previous opinions that the gastric pull-up procedure has good swallowing outcomes, and indicate that such outcomes continue in the long term.
Original languageEnglish
Pages (from-to)1354-1359
Number of pages6
JournalJournal of Laryngology and Otology
Volume122
Issue number12
Early online date19 May 2008
DOIs
Publication statusPublished - 1 Dec 2008
Externally publishedYes

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