Mohamed Abdelrahman¹*, Helen Neilens², Victoria Yates², Amber Lorde², Arun Ariyarathenam¹, Richard Berrisford¹, Grant Sanders¹, Lee Humphreys¹, Grant Sanders¹, Ji Tham¹, Tim Wheatley¹ and David SY Chan¹

¹Department of Upper GI Surgery, Derriford Hospital, Plymouth, United Kingdom
²Department of Research and Development, Derriford Hospital, Plymouth, United Kingdom

*Corresponding Author: Mohamed Abdelrahman, Department of Upper GI Surgery, Derriford Hospital, Plymouth, United Kingdom.

Received: March 19, 2024; Published: March 28, 2024

Abstract

Early delayed gastric emptying (DGE) occurs in up to 37% of patients following esophagectomy. This can contribute to increased anastomotic leak and respiratory infection rates. Although the treatment of DGE in the form of pyloric balloon dilatation (PBD) post-operatively is well established, there is no consensus on the optimal approach in the prevention of DGE. The aim of this study was to determine the feasibility of a randomised controlled trial comparing prophylactic pyloric balloon dilatation (PBD) to no intervention (control group) on the rates of delayed gastric emptying (DGE). All 20 patients approached were successfully randomised (PBD: n=10, Control: n=10). All outcome measures were successfully measured. This study opens the door for a future full RCT study comparing the effect on outcomes of DGE, between prophylactic PBD and no intervention in patients undergoing esophagectomy.

Keywords: Feasibility Study; Prophylactic Pyloric; Balloon Dilatation; Ivor Lewis; Esophagectomy; Gastric Emptying

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Citation

Citation: Mohamed Abdelrahman., et al. “Outcomes of a Randomised Controlled Trial (Feasibility Study) of Prophylactic Pyloric Balloon Dilatation during Ivor Lewis Esophagectomy to Prevent Delayed Gastric Emptying". Acta Scientific Gastrointestinal Disorders 7.4 (2024): 16-21.

Copyright

Copyright: © 2024 Mohamed Abdelrahman., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.