RESUMO
BACKGROUND: The stomach is a well known esophageal substitute. To analyze the mortality and morbidity following total laryngopharyngoesophagectomy (TLPE) with pharyngogastric anastamosis done as a single-stage procedure. METHODS: The technique employed was esophageal extraction by stripping method followed by gastric pull up. In 104 patients transportation of the stomach was done through posterior mediastinum and in one patient through presternal route. RESULTS: Significant post-operative complications included pharyngocutaneous fistula in 15 patients (14.3%) and pneumonitis in 20 patients (19%), Fifteen patients (14.3%) died due to the causes related to surgery. All patients who survived were able to swallow solid and liquid food, on an average of 14 days post-operatively. CONCLUSION: The stomach as a conduit following TLPE is a procedure which has given satisfying results when done in carefully selected patients.
Assuntos
Adulto , Idoso , Anastomose Cirúrgica/métodos , Esofagectomia/mortalidade , Feminino , Humanos , Neoplasias Hipofaríngeas/cirurgia , Laringectomia , Masculino , Pessoa de Meia-Idade , Faringectomia , Faringe/cirurgia , Estômago/cirurgiaRESUMO
BACKGROUND: The stomach is a well known esophageal substitute. To analyze the mortality and morbidity following total laryngopharyngoesophagectomy (TLPE) with pharyngogastric anastamosis done as a single-stage procedure. METHOD: The technique employed was esophageal extraction by stripping method followed by gastric pull up. In 104 patients transposition of the stomach was done through posterior mediastinum and in one patient through presternal route. RESULTS: Significant post-operative complications included pharyngocutaneous fistula in 15 patients (14.3%) and pneumonitis in 20 patients (19%). Fifteen patients (14.3%) died due to the causes related to surgery. All patients who survived were able to swallow solid and liquid food, on an average of 14 days post-operatively. CONCLUSION: The stomach as a conduit following TLPE is procedure which givens satisfying results when done in carefully selected patients.
Assuntos
Adulto , Idoso , Anastomose Cirúrgica/métodos , Esofagectomia , Feminino , Humanos , Laringectomia , Masculino , Pessoa de Meia-Idade , Faringectomia , Faringe/cirurgia , Estômago/cirurgiaRESUMO
Paragangliomas are rare tumours of the head and neck and are a diagnostic challenge. Two cases of paragangliomas arising from the vagus are being reported. In the first case, an angiogram raised the possibility of intravagal tumour and exploration followed by biopsy confirmed the diagnosis. In the second case, it was a diagnostic surprise where exploration was done on a clinical suspicion of parotid swelling and on the table, the swelling was found to arise from the vagus nerve pushing the parotid gland laterally.
Assuntos
Adulto , Neoplasias dos Nervos Cranianos/diagnóstico , Humanos , Masculino , Pessoa de Meia-Idade , Paraganglioma/diagnóstico , Nervo VagoRESUMO
Two cases of annular pancreas in adults are being reported. In the first case, a middle aged lady presented with duodenal obstruction and gastric ulcer. Anterior H. S. V. with posterior truncal vagotomy and isoperistaltic duodeno-jejunostomy relieved her symptoms. In the second case, a young girl presented with duodenal obstruction, severe wasting and gross dehydration. She had an uneventful recovery following a duodeno-jejunostomy.