ABSTRACT
Clinical data from 278 patients with oesophageal carcinoma admitted to Songklanagarind Hospital, Songkla, Thailand between February 1982 and December 1992 were analysed to evaluated the effects on survival of various tumours and surgical techniques. There were 217 males and 61 females, average age 62.4 years (range 30-85 years), mean length of tumour 5.8 cm. (range 5-13.5 cm.). 216 cases were squamous cell carcinoma 14 cases a denocarcinoma, and 7 cases others. There were 4 techniques for surgical resection: 182 cases were operated on by modified Lewis-Tanner method, 40 cases by transmittal blunt resection, 29 cases by 3-stage technique and 27 cases by pharyngo-laryngo-oesophagectomy. Three-year, five-year, and ten-year survival rates from this report were 17.9%, 12.6% and 4.2% respectively. Respected patients stage 3 and 4, with albumin level equal to or less than 3 gm%, FEV1 equal to or less than 70% and anastomotic leakage were significantly associated with lower survival rates. No statistical significance among the techniques of surgical resection was noted.
ABSTRACT
Two cases of oesophageal webs, admitted at Songklanagarind Hospital, were diagnosed by symptoms and signs of Plummer-Vinson syndrome :- dysphagia, glossitis, anaemia; and by darium oesophagography and oesophagoscopy. The patients were treated with oesophageal dilatation and the results were satisfactory. Relevant literatures have also been reviewed.
ABSTRACT
During a 5-year period, 14 patients were treated for achalasia of the oesophagus. The male-to-female ratio was 1:1.3, and a mean age of 43.4 years. The chief presenting complaint was dysphagia (71.4%). The radiological findings were mild degree 21.3%, moderate degree 71.5% and severe degree 7.2%. Oesophagomyotomy was perforemed in 13 patients, resulting excellent result 53.8%, good result 23.1%, fair result 15.4% and poor result 7.7%. This report showed the surgical technique and follow up of these patients in the past 5 years.
ABSTRACT
A review of 10 patients who underwent substernal gastric bypass with oesophageal exclusion for palliative treatment of carcinoma of the oesophagus is presented. The patients were old (average 67.3 years.); all had pulmonary problems or unresectable oesophageal carcinoma. There was anastomotic leakage in 2 cases. Blowout of oesophageal stump occurred in 4 cases: two at the upper oesophagus and two at the lower oesophagus. Five patients died in the hospital, one from subdiaphramatic abscess, one from aspiration of contrast media, and the others died from progressive cachexia. The longest survival was 18 months in one patient.