Salivary Pepsin Testing Reveals Key Reflux Factors Post-Esophagectomy

Salivary pepsin testing objectively tracks reflux trajectories in post-esophagectomy patients. The study identifies redundancy of conduit as a significant risk factor for increased reflux, while maintaining a semi-fowler position and pre-sleep fasting for at least two hours offers protective benefits. These findings highlight essential modifiable elements that can enhance recovery pathways for patients, aiming to mitigate a common yet challenging postoperative complication.