Gastric pull-up operation for restoration of alimentary continuity after resecting hypopharyngeal or oesophageal cancer

Gastric pull-up operation was used in 12 patients. They were 6 males 6 females. Most of them were in the 6th decade, with a range of 30-70 years. Six patients had advanced postcricoid carcinoma, involving the cervical oesophagus. Four patients had carcinoma of the middle 1/3 of the oesophagus [2 of which involving the lower 1/3] and 2 cases of carcinoma of the lower 1/3. The operative technique, postoperative follow-up and complications and histopathological examination were studied. The results of this study showed that this technique is satisfactory for immediate and effective restoration of the alimentary tract in cases of postcricoid carcinoma involving the cervical oesophagus, upper and lower oesophageal cancer and carcinoma of the middle 1/3 when it is localized to the oesophagus and assessed to be so at operation by digital evaluation

pattern of acute intestinal obstruction in Egypt

A total of 251 patients admitted to casualty unit of Kasr El-Aini Hospitals through one year were studied. Their ages ranged from 3 days to 81 years. They were 167 males and 84 females with male to female ratio of 1.98: 1. The commonest age groups affected were the adults [38.64%] and infants [29.48%], with a relatively similar rate of affection of the cases below one year [38.24%], and those between 15 to 65 years [38.46%]. The main causes intestinal obstruction were the complicated hernia [49%], intussusception [25.89%] and adhesive intestinal obstruction [8.36%]. Detailed prescription of the different forms was mentioned. It was found that out of 251 cases, 240 patients patients [95.65%] were treated surgically, of which 32 cases [12.74] needed resection anastomosis. Gangrene of the bowel and omentum was found in 27 cases [10.8%] and showed good correlation with late presentation, rising temperature, faeculent vomiting, tenderness and rebound tenderness. Morbidity was encountered in 31 cases [12.35%] of which the main complications were chest infection [70.96%] and wound infection [19.35%]. Similarly out of the 14 mortalities [5.57%] met with, 9 deaths [64.28%] were due to severe uncontrolled chest infection and 3 deaths [21.42%] due to fluid and electrolyte imbalance