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[Intrathoracic-extrapleural esophageal replacement with gastroplasty]
Rofo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin
|December 1, 1984
Summary
Esophageal replacement using stomach transposition in 87 patients showed significant operative mortality but manageable long-term morbidity. This procedure offers an average survival of eight to ten months for esophageal carcinoma patients.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Thoracic Surgery
Background:
- Esophageal cancer necessitates complex surgical interventions.
- Stomach transposition is a reconstructive option for esophageal defects.
Purpose of the Study:
- To evaluate the outcomes of esophageal replacement via stomach transposition.
- To assess the morbidity and survival rates associated with this procedure.
Main Methods:
- Retrospective analysis of 87 patients undergoing esophageal replacement with transposed stomach.
- Inclusion of 64 patients with esophageal carcinoma.
- Radiological assessment of post-operative complications.
Main Results:
- Immediate operative mortality rate of 20-30%.
- Key morbidities include anastomotic stricture (22%), external fistula (25%), and thoracic stomach ectasia (15-25%).
- Average survival time of 8-10 months; 24% risk of post-operative pulmonary edema.
Conclusions:
- Stomach transposition for esophageal replacement is associated with high initial mortality but manageable post-operative complications.
- Careful radiological monitoring is crucial for detecting and managing complications like strictures and fistulas.
- The procedure provides a survival benefit for esophageal carcinoma patients, necessitating vigilant post-operative care for pulmonary complications.