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Operations to Resect, Replace, or Bypass the Esophagus for Cancer

  • Jameson L. Chassin

Abstract

A number of surgeons have asserted that resection of the lower esophagus and proximal stomach for lesions near the gastric cardia, followed by esophagogastric anastomosis, is an operation with a high mortality rate and a high incidence of reflux esophagitis. On the other hand, we have observed that very few patients experience serious symptoms of reflux esophagitis following esophagogastrectomy with an end-to-side anastomosis. No dietary restrictions have been necessary. In 44 consecutive cases, among patients whose average age was over 70, we encountered (and reported) no clinical anastomotic leaks and no deaths.

Keywords

Chronic Obstructive Pulmonary Disease Anastomotic Leak Esophageal Carcinoma Reflux Esophagitis Gastric Cardia 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Akiyama H. Surgery for carcinoma of the esophagus. Curr Probl Surg 1980;17:56–120.CrossRefGoogle Scholar
  2. Belsey R. Reconstruction of the esophagus with left colon. J Thorac Cardiovasc Surg 1965;49:33.PubMedGoogle Scholar
  3. Chasseray VM, Kiroff GK, Buard JJL et al. Cervical or thoracic anastomosis for esophagectomy for carcinoma. Clin Chirurgicale 1989;169:55.Google Scholar
  4. Chassin JL. Esophagogastrectomy: data favoring end-to-side anastomosis. Ann Surg 1978; 188:22.PubMedCrossRefGoogle Scholar
  5. Ellis FH Jr, Gibb SP, Watkins EW Jr. Esophagogastrectomy. Ann Surg 1983;198:531–540.PubMedCrossRefGoogle Scholar
  6. Mathisen DJ, Grillo HC, Wilkins EW Jr, Moncure AC et al. Transthoracic esophagectomy: a safe approach to carcinoma of the esophagus. Ann Thorac Surg 1988; 45:137–143.PubMedCrossRefGoogle Scholar
  7. Orringer MB. Transhiatal esophagectomy without thoracotomy for carcinoma of the thoracic esophagus. Ann Surg 1984;200:282–288.PubMedCrossRefGoogle Scholar
  8. Orringer MB, Forastiere AA, Perez-Tamayo C, Urba S et al. Chemotherapy and radiation therapy before transhiatal esophagectomy for esophageal carcinoma. Ann Thorac Surg 1990;49:348–354.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1994

Authors and Affiliations

  • Jameson L. Chassin
    • 1
    • 2
  1. 1.Clinical SurgeryNew York University School of MedicineNew YorkUSA
  2. 2.Department of SurgeryNew York Hospital Medical Center of QueensFlushingUSA

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