ArticleWorld journal of gastrointestinal surgery2026
Managing reflux after tubular gastric esophageal substitution.
Article in World journal of gastrointestinal surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundTubular gastric substitution is a common procedure after esophagectomy, and postoperative reflux symptoms significantly impair the patients' quality of life and nutritional status. Effective long-term nursing strategies are crucial in managing this complication. This study aimed to evaluate the efficacy of a comprehensive follow-up approach.
aimTo investigate the follow-up nursing interventions and clinical outcomes of reflux following tubular gastric esophageal replacement surgery.
methodsA randomized prospective trial was conducted using clinical data from 100 patients with postoperative reflux following tubular gastric esophageal replacement surgery treated at our hospital's Department of Thoracic Surgery between July 2023 and July 2025. Patients were divided into control and study groups based on differing clinical nursing approaches; the control group received routine follow-up care, while the study group underwent comprehensive follow-up care for two months. Pre- and post-intervention comparisons assessed 24-hour reflux frequency, reflux episodes lasting over five minutes, reflux symptom scores, nutritional indicators, quality of life scores, complication rates, and nursing satisfaction.
resultsPre-intervention, no significant differences existed between groups in 24-hour reflux frequency (study: 9.25 ± 1.33
conclusionImplementing comprehensive follow-up nursing for patients with post-tubular gastric esophageal replacement surgery reflux effectively alleviates reflux symptoms, enhances nutritional status and quality of life, and reduces the incidence of complications, demonstrating significant clinical value.
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