Relationship between pharyngeal or esophageal reconstruction and esophageal pressure after swallowing
Abstract Background High‐resolution manometry, which measures esophageal luminal pressure changes after swallowing, could shed more light on food‐transport dynamics after pharyngeal/esophageal reconstruction. This prospective cohort study assessed the influence of two head‐and‐neck and esophageal tu...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-01-01
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| Series: | Cancer Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/cnr2.1619 |
| _version_ | 1811169306505904128 |
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| author | Hiroki Umezawa Mariko Umezawa Yu Hokazono Takeshi Matsutani Rei Ogawa |
| author_facet | Hiroki Umezawa Mariko Umezawa Yu Hokazono Takeshi Matsutani Rei Ogawa |
| author_sort | Hiroki Umezawa |
| collection | DOAJ |
| description | Abstract Background High‐resolution manometry, which measures esophageal luminal pressure changes after swallowing, could shed more light on food‐transport dynamics after pharyngeal/esophageal reconstruction. This prospective cohort study assessed the influence of two head‐and‐neck and esophageal tumor‐resection and reconstruction approaches on esophageal pressure. Methods The cohort consisted of 17 patients who underwent esophageal/pharyngeal resection/reconstruction for cancer and then participated in postoperative high‐resolution manometry. Five healthy controls also underwent manometry for comparison. Results Partial pharyngectomy with patch grafts associated with smooth and continuous esophageal/pharyngeal movement. By contrast, surgery that removed the thoracic esophagus led to complete loss of peristalsis and poor food transport. Conclusions High‐resolution manometry effectively characterized the changes in food‐transport dynamics caused by pharyngeal/esophageal resection/reconstruction. These findings suggest that continuous and smooth movement of the pharynx and esophagus is important for swallowing and high resolution manometry could be useful in patients after pharyngeal/esophageal resection/reconstruction. |
| first_indexed | 2024-04-10T16:40:13Z |
| format | Article |
| id | doaj.art-9a1a32822e434181990e43a4d26a5e11 |
| institution | Directory Open Access Journal |
| issn | 2573-8348 |
| language | English |
| last_indexed | 2024-04-10T16:40:13Z |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cancer Reports |
| spelling | doaj.art-9a1a32822e434181990e43a4d26a5e112023-02-08T07:31:29ZengWileyCancer Reports2573-83482023-01-0161n/an/a10.1002/cnr2.1619Relationship between pharyngeal or esophageal reconstruction and esophageal pressure after swallowingHiroki Umezawa0Mariko Umezawa1Yu Hokazono2Takeshi Matsutani3Rei Ogawa4Department of Plastic, Reconstructive and Aesthetic Surgery Nippon Medical School Tokyo JapanDepartment of Gastroenterology Nippon Medical School Tokyo JapanDepartment of Plastic, Reconstructive and Aesthetic Surgery Nippon Medical School Tokyo JapanDepartment of Surgery Nippon Medical School Tokyo JapanDepartment of Plastic, Reconstructive and Aesthetic Surgery Nippon Medical School Tokyo JapanAbstract Background High‐resolution manometry, which measures esophageal luminal pressure changes after swallowing, could shed more light on food‐transport dynamics after pharyngeal/esophageal reconstruction. This prospective cohort study assessed the influence of two head‐and‐neck and esophageal tumor‐resection and reconstruction approaches on esophageal pressure. Methods The cohort consisted of 17 patients who underwent esophageal/pharyngeal resection/reconstruction for cancer and then participated in postoperative high‐resolution manometry. Five healthy controls also underwent manometry for comparison. Results Partial pharyngectomy with patch grafts associated with smooth and continuous esophageal/pharyngeal movement. By contrast, surgery that removed the thoracic esophagus led to complete loss of peristalsis and poor food transport. Conclusions High‐resolution manometry effectively characterized the changes in food‐transport dynamics caused by pharyngeal/esophageal resection/reconstruction. These findings suggest that continuous and smooth movement of the pharynx and esophagus is important for swallowing and high resolution manometry could be useful in patients after pharyngeal/esophageal resection/reconstruction.https://doi.org/10.1002/cnr2.1619esophageal high‐resolution manometryesophageal reconstructionfood‐transport dynamicshead‐and‐neck reconstructionpharyngeal reconstruction |
| spellingShingle | Hiroki Umezawa Mariko Umezawa Yu Hokazono Takeshi Matsutani Rei Ogawa Relationship between pharyngeal or esophageal reconstruction and esophageal pressure after swallowing Cancer Reports esophageal high‐resolution manometry esophageal reconstruction food‐transport dynamics head‐and‐neck reconstruction pharyngeal reconstruction |
| title | Relationship between pharyngeal or esophageal reconstruction and esophageal pressure after swallowing |
| title_full | Relationship between pharyngeal or esophageal reconstruction and esophageal pressure after swallowing |
| title_fullStr | Relationship between pharyngeal or esophageal reconstruction and esophageal pressure after swallowing |
| title_full_unstemmed | Relationship between pharyngeal or esophageal reconstruction and esophageal pressure after swallowing |
| title_short | Relationship between pharyngeal or esophageal reconstruction and esophageal pressure after swallowing |
| title_sort | relationship between pharyngeal or esophageal reconstruction and esophageal pressure after swallowing |
| topic | esophageal high‐resolution manometry esophageal reconstruction food‐transport dynamics head‐and‐neck reconstruction pharyngeal reconstruction |
| url | https://doi.org/10.1002/cnr2.1619 |
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