Christina L. Greene, MD, Steven R

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Presentation transcript:

Long-Term Quality of Life and Alimentary Satisfaction After Esophagectomy With Colon Interposition Christina L. Greene, MD, Steven R. DeMeester, MD, Florian Augustin, MD, Stephanie G. Worrell, MD, Daniel S. Oh, MD, Jeffrey A. Hagen, MD, Tom R. DeMeester, MD The Annals of Thoracic Surgery Volume 98, Issue 5, Pages 1713-1720 (November 2014) DOI: 10.1016/j.athoracsur.2014.06.088 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Colon interposition (a) after en bloc esophagectomy and (b) after vagal-sparing esophagectomy. (Panel a is reprinted from Banki F, et al, Ann Surg 2002;236:324-36 [5], with permission. Panel b is reprinted courtesy of Dr Tom R. DeMeester.) The Annals of Thoracic Surgery 2014 98, 1713-1720DOI: (10.1016/j.athoracsur.2014.06.088) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 The Gastrointestinal Quality of Life Index questionnaire is a validated 36-item survey with a maximum score of 144. Questions are divided into 5 domains, with higher scores denoting better function. The Annals of Thoracic Surgery 2014 98, 1713-1720DOI: (10.1016/j.athoracsur.2014.06.088) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 The RAND 36-Item Health Survey 1.0 (RAND Corp, Santa Monica, CA) is a general health questionnaire with a maximum score of 100. Questions are divided into 8 domains, with higher scores denoting better function. Scores for patients with a colon interposition (solid line) are compared with normal volunteers (dashed line). The Annals of Thoracic Surgery 2014 98, 1713-1720DOI: (10.1016/j.athoracsur.2014.06.088) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Overall alimentary tract comfort was rated from 0 to 10. A score of 0 indicated that alimentary function was intolerable, and a score of 10 indicated complete satisfaction. The distribution of patient alimentary satisfaction scores is shown. The median alimentary satisfaction score was 9 (interquartile range, 8 to 10). The Annals of Thoracic Surgery 2014 98, 1713-1720DOI: (10.1016/j.athoracsur.2014.06.088) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Detailed information on the presence and pattern of dumping was available from 44 patients, 19 of whom experienced dumping, with most reporting infrequent episodes. The Annals of Thoracic Surgery 2014 98, 1713-1720DOI: (10.1016/j.athoracsur.2014.06.088) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 6 Still images from an esophagram performed in a patient (a) 20 years before and (b) at the time of this study. There was no significant increase in colon diameter or tortuosity over time. The Annals of Thoracic Surgery 2014 98, 1713-1720DOI: (10.1016/j.athoracsur.2014.06.088) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions