ArticleThe Journal of surgical research2016
Fluid administration and morbidity in transhiatal esophagectomy.
Article in The Journal of surgical research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Association of perioperative patient characteristics, intraoperative fluid management, and vasopressors with anastomotic leakage after Ivor-Lewis esophagectomy-a single center retrospective cohort.Surgical endoscopy · 2026Article
- Impact of perioperative fluid overload on the occurrence of postoperative pulmonary complications following lobectomy.Journal of thoracic disease · 2024Article
- Stroke volume variation and dynamic arterial elastance predict fluid responsiveness even in thoracoscopic esophagectomy: a prospective observational study.Journal of anesthesia · 2023Observational
- The impact of intraoperative and postoperative fluid balance on complications for transthoracic esophagectomy: a retrospective analysis.BMC research notes · 2023Article
- Intraoperative fluid therapy and postoperative complications during minimally invasive esophagectomy for esophageal cancer: a single-center retrospective study.Journal of anesthesia · 2020Article
- The enhanced recovery after surgery (ERAS) protocol to promote recovery following esophageal cancer resection.Surgery today · 2020Review
- Effect of intraoperative fluid administration on perioperative outcomes in patients undergoing McKeown esophagogastrectomy.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2019Article
- Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundEsophagectomy is associated with significant morbidity. Optimizing perioperative fluid administration is one potential strategy to mitigate morbidity. We sought to investigate the relationship of intraoperative fluid (IOF) administration to outcomes in patients undergoing transhiatal esophagectomy with particular attention to malnourished patients, who may be more susceptible to the effects of fluid overload. MATERIAL AND
methodsPatients who underwent transhiatal esophagectomy from 2000-2013 were identified from a retrospective database. IOF rates (mL/kg/hr) were determined and their relationship to outcomes compared. To examine the impact of malnutrition, we stratified patients based on median preoperative serum albumin and compared outcomes. RESULTS AND DISCUSSION: 211 patients comprised the cohort. 74% of patients underwent esophagectomy for esophageal adenocarcinoma. Linear regression analyses were performed comparing independent perioperative variables to four outcomes variables: length of stay, complications per patient, major complications, and Clavien-Dindo classification. IOF rate was significantly associated with three of four outcomes on univariate analysis. Significantly more patients with a preoperative albumin level ≤3.7 g/dL who received more than the median IOF rate experienced more severe complications.
conclusionsIncreased intraoperative fluid administration is associated with perioperative morbidity in patients undergoing transhiatal esophagectomy. Patients with lower preoperative albumin levels may be particularly sensitive to the effects of volume overload.
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