Perioperative morbidity and mortality in 100 cases of transhiatal esophagectomy- a single surgical unit experience of Khyber teaching hospital, Peshawar

To observe the perioperative morbidity and mortality rates of 100 transhiatal esophagectomies operated for esophageal carcinoma in a surgical unit of a tertiary care hospital. Data pertaining to all patients that had undergone transhiatal esophagectomy from Feb, 2012 to Jan, 2014 were reviewed. The study group comprised 100 patients. Indication for surgery was esophageal cancer. Perioperative morbidity and mortality i.e. morbidity and mortality during the first 30 days, were studied. Two patients died during the postoperative period in hospital. The anastomotic leakage rate was zero. No dysphagia was found during one month of postoperative period. Overall survival was 98% for the first 30 days of surgery. Transhiatal esophagectomy has been common stay and a safe rather feasible procedure. Oncological therapy has its role and better results are found in centers where the procedure is frequently performed

Small intestinal obstruction caused by a phytobezoar: a case report

Phytobezoar is a concretion formed in the stomach or intestine and composed chiefly of undigested compacted vegetable or fruit fibers. A case of Phytobezoar causing acute small intestinal obstruction in absence of prior gastric surgery or other predisposing factors is presented. The patient was managed surgically i.e., enterotomy