Related Experiment Video
Updated: Aug 5, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
[Surgical treatment for the chronic severe aspiration]
Hao Wang1, Zhizhong Shen, Zhuohua Yao
1Department of Otolaryngology, Second Affiliated Hospital of Shantou University Medical College, Shantou 515041.
Objective:
To find out the best surgical treatment for chronic severe aspiration with different pathogenesis.
Method:
Eight patients with severe aspiration were treated by 3 surgical methods. Six of 8 cases were perfomed tracheotomy. The cannula had a gasbag and the gasbag was inflated before eating food every time. Epiglottic flap closure for one patient with intractable aspiration. Stomach-stomy for the case with tracheoasophageal fistula.
Result:
There did not found aspiratory pneumonia in all cases after following up for 9 months to 4.5 years. The six cases with tracheotomy could eating normally and their phonation were reserved. Only one case has a slight aspiration. The patient with epiglottic flap closure hadn't aspirated when eating. The stomach-stomy could prevent the aspiration in having meal.
Conclusion:
Tracheotomy, epiglottic flap closure and stomach-stomy are all the effective surgical treatment for chronic severe aspiration. Any of 3 surgical methods should be selected according to the etiology, the degree of aspiration and the patient's condition, so as to improve the quality of the patient's life.
Related Concept Videos
Trachea
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of the...
Chronic Pharyngitis
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Acute Respiratory Failure-V
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Suctioning the Nasopharyngeal Airway
Equipment Required
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

