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

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

doi:10.1017/s002221510800251x

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 journal › Article › peer-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 language	English
Pages (from-to)	1354-1359
Number of pages	6
Journal	Journal of Laryngology and Otology
Volume	122
Issue number	12
Early online date	19 May 2008
DOIs	https://doi.org/10.1017/s002221510800251x
Publication status	Published - 1 Dec 2008
Externally published	Yes

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title = "Total laryngopharyngoesophagectomy with gastric transposition reconstruction: review of long-term swallowing outcomes.",

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.",

author = "Kelly, {A. M.} and Drinnan, {M. J.} and L. Savy and Howard, {D. J.}",

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doi = "10.1017/s002221510800251x",

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TY - JOUR

T1 - Total laryngopharyngoesophagectomy with gastric transposition reconstruction

T2 - review of long-term swallowing outcomes.

AU - Kelly, A. M.

AU - Drinnan, M. J.

AU - Savy, L.

AU - Howard, D. J.

PY - 2008/12/1

Y1 - 2008/12/1

N2 - 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.

AB - 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.

UR - http://europepmc.org/abstract/med/18485250

U2 - 10.1017/s002221510800251x

DO - 10.1017/s002221510800251x

M3 - Article

C2 - 18485250

SN - 0022-2151

VL - 122

SP - 1354

EP - 1359

JO - Journal of Laryngology and Otology

JF - Journal of Laryngology and Otology

IS - 12

ER -

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

Abstract

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