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41. Speiseröhrenersatz

Esophageal replacement

  • B. Wissenschaftliches Programm
  • I. hauptthemen min Diskussion E. Die Wiederherstellungsoperationen am extraperitionealen Intestinaltrakt a) Oesophagus, Duodenum
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Langenbecks Archiv für Chirurgie Aims and scope Submit manuscript

Summary

The procedure of first choice for esophageal replacement is gastric interposition. Alternatively the replacement by colon is possible after gastric surgery. In our own examinations patients with gastric interposition had an accelerated emptying while those with colon interposition showed a delayed emptying. In spite of persisting acid secretion of the interpositioned stomach the gastroesophageal reflux was of minor importance after total intrathoracic position of the stomach.

Zusammenfassung

Das Verfahren der ersten Wahl für den Speiseröhrenersatz ist die Mageninterposition. Als Alternative steht bei Voroperationen am Magen der Ersatz durch Colon zur Verfügung. In eigenen Nachuntersuchungen fanden wir bei Patienten mit Mageninterposition eine beschleunigte Entleerung, nach Coloninterposition dagegen insgesamt eine verzögerte Entleerung. Trotz persistierender Säuresekretion des interponierten Magens spielte der gastro-oesophageale Reflux bei kompletter Intrathorakalverlagerung des Magens keine nennenswerte Rolle.

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  1. Chirurgische Klinik und Poliklinik, Technische Universität München, Klinikum rechts der Isar, Ismaninger Straße 22, D-8000, München 80

    J. R. Siewert & A. H. Hölscher

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  1. J. R. Siewert
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  2. A. H. Hölscher
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Siewert, J.R., Hölscher, A.H. 41. Speiseröhrenersatz. Langenbecks Arch Chiv 366, 233–239 (1985). https://doi.org/10.1007/BF01836640

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