Jk. Park et al., Pharyngo-enteral anastomosis for esophageal reconstruction in diffuse corrosive esophageal stricture, ANN THORAC, 72(4), 2001, pp. 1141-1143
Citations number
20
Categorie Soggetti
Cardiovascular & Respiratory Systems","Medical Research Diagnosis & Treatment
Background. Diseases involving the entire esophagus usually require extensi
ve surgical procedures to accomplish functional reconstruction. These proce
dures are extremely stressful for undernourished patients. We have utilized
a simpler procedure for total esophageal reconstruction.
Methods. This retrospective report reviews the experience in 8 patients who
underwent esophageal reconstruction by pharyngo-colo-gastrostomy or jejuno
stomy without any resection of bony structures.
Results. There was no operative or hospital death. Complications included a
nastomotic stenosis, transient leak from the ileal stump, and late enterocu
taneous fistula, each in I patient. Laryngeal function was maintained witho
ut special treatments. After swallowing training for approximately I week,
oral feeding was resumed. All patients have gained 7 to 21 kg at 35 to 67 m
onths after surgery.
Conclusions. Our surgical procedure is shown to be safe and effective in un
dernourished patients with diffuse esophageal stricture. (C) 2001 by The So
ciety of Thoracic Surgeons.