End to End versus end to side oesphagogastrostomy after oesphageal resection, a prospective cohort study
Mohamed Alsadeq Ahmed Alsadeq;
Abstract
Esophagectomy is needed for a variety of esophageal disorders, the most common indication is cancer esophagus, however, it is needed in benign disorders as postcorrosive strictures & endstage achalasia with esophageal dilatation.
Anastomotic leakage is one of the most severe complications leading to significant morbidity and increased risk of mortality.
Leaks after esophagectomy have different manifestations and vary in clinical presentations & complications, ranging from local wound infections to life threatening sepsis.
Cervical leaks have higher incidence than their thoracic counterparts, but their clinical impact is less critical, because of the extra thoracic location without connection to the mediastinum.
Most of the leaks develop within 10 days following surgery.
Diagnosis of anastomotic leakage after esophagectomy can be difficult. Most surgeons use a contrast swallow routinely for patients within 1 week of the operation to confirm anastomotic healing then the patient is allowed to resume swallowing. Others rely on gradual introduction of oral fluids and solids with close clinical monitoring and only request the contrast swallow if leakage is suspected.
Anastomotic leakage is one of the most severe complications leading to significant morbidity and increased risk of mortality.
Leaks after esophagectomy have different manifestations and vary in clinical presentations & complications, ranging from local wound infections to life threatening sepsis.
Cervical leaks have higher incidence than their thoracic counterparts, but their clinical impact is less critical, because of the extra thoracic location without connection to the mediastinum.
Most of the leaks develop within 10 days following surgery.
Diagnosis of anastomotic leakage after esophagectomy can be difficult. Most surgeons use a contrast swallow routinely for patients within 1 week of the operation to confirm anastomotic healing then the patient is allowed to resume swallowing. Others rely on gradual introduction of oral fluids and solids with close clinical monitoring and only request the contrast swallow if leakage is suspected.
Other data
Title | End to End versus end to side oesphagogastrostomy after oesphageal resection, a prospective cohort study | Other Titles | المقارنة بين توصيل انبوبة المعدة بالمرئ وصلة مباشرة او عن طريق الجانب بعد استئصال المرئ (دراسة مستقبلية) | Authors | Mohamed Alsadeq Ahmed Alsadeq | Issue Date | 2021 |
Attached Files
File | Size | Format | |
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BB12629.pdf | 765.26 kB | Adobe PDF | View/Open |
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