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Esophagectomy for benign disease.

Jessica Mormando1, Arianna Barbetta1, Daniela Molena1

  • 1Division of Thoracic Surgery, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Journal of Thoracic Disease
|May 1, 2018
PubMed
Summary
This summary is machine-generated.

Esophagectomy, or esophageal resection, is a last resort for benign esophageal diseases unresponsive to other treatments. It offers a vital option for patients with non-functional organs and poor quality of life.

Keywords:
Boerhaave’s syndromeEsophagectomyachalasiabenign esophageal diseasebenign esophageal neoplasmcaustic ingestionesophageal perforationesophageal resectionesophageal stricturegastroesophageal reflux disease (GERD)

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Esophageal Diseases

Background:

  • Esophagectomy for benign conditions is infrequent but crucial for end-stage esophageal failure.
  • It's reserved for cases where conservative treatments fail and quality of life is severely impacted.

Purpose of the Study:

  • To outline the indications for esophagectomy in benign esophageal diseases.
  • To provide guidance on when this procedure is appropriate for organ failure.

Main Methods:

  • Review of literature and clinical guidelines.
  • Categorization of indications into obstruction, perforation, and dysmotility.

Main Results:

  • Esophageal resection is a last resort for benign disease.
  • Indications include intractable obstruction, uncontrolled perforation, and severe dysmotility.
  • The decision is based on non-functional esophagus and poor quality of life.

Conclusions:

  • Esophagectomy is a viable, albeit uncommon, option for specific benign esophageal conditions.
  • Careful patient selection is paramount for successful outcomes.
  • Understanding indications guides surgical decision-making in complex cases.