Mara B. Antonoff, MD, Varun Puri, MD, Bryan F

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Comparison of Pyloric Intervention Strategies at the Time of Esophagectomy: Is More Better? Mara B. Antonoff, MD, Varun Puri, MD, Bryan F. Meyers, MD, MPH, Kevin Baumgartner, BS, Jennifer M. Bell, BSN, Stephen Broderick, MD, A. Sasha Krupnick, MD, Daniel Kreisel, MD, PhD, G. Alexander Patterson, MD, Traves D. Crabtree, MD The Annals of Thoracic Surgery Volume 97, Issue 6, Pages 1950-1958 (June 2014) DOI: 10.1016/j.athoracsur.2014.02.046 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Pyloric drainage procedure trends over time. As we have learned from our experiences, beginning approximately 2010, our use of pyloromyotomy and pyloroplasty has diminished, while employment of botulinum toxin injection continues to rise. (dashed line = none; solid line = pyloromyotomy; dashed-dotted line = pyloroplasty; dotted line = dilation/botulinum toxin; broken line = manual dilation.) The Annals of Thoracic Surgery 2014 97, 1950-1958DOI: (10.1016/j.athoracsur.2014.02.046) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Postoperative complication development by drainage procedure type. Patients who did not undergo any pyloric drainage intervention were at increased risk of aspiration (solid bars) as well as need for pyloric drainage procedure (hatched bars) before discharge from index hospitalization. The Annals of Thoracic Surgery 2014 97, 1950-1958DOI: (10.1016/j.athoracsur.2014.02.046) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions