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

Published online by Cambridge University Press:  19 May 2008

A M Kelly ,
M J Drinnan ,
L Savy  and
D J Howard
A M Kelly*
Affiliation:
Head and Neck Centre, University College Hospital London, London, UK
M J Drinnan
Affiliation:
Regional Medical Physics Department, Freeman Hospital, Newcastle upon Tyne, UK
L Savy
Affiliation:
Department of Radiology, The Royal Free Hospital, London, UK
D J Howard
Affiliation:
Ear, Nose and Throat Department, Charing Cross Hospital, London, UK
*
Address for correspondence: Ms Annette Kelly, Head and Neck Centre, 1st Floor East, 250 Euston Road, London NW1 2PG, UK. Fax: +44 (0)20 7380 6952 E-mail: Annette.Kelly@uclh.nhs.uk
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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.

Keywords

Hypopharyngeal NeoplasmsGastric TranspositionDeglutitionDeglutition Disorders
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 12 , December 2008 , pp. 1354 - 1359
Copyright
Copyright © JLO (1984) Limited 2008

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