ABSTRACT
The paper presents 78 patients with stenosis of the middle thoracic segment of the esophagus. The substitute, being pedunculated intestinal graft, was brought to the neck through the retrosternal space. Early post-operative complications occurred in 8.9% of patients. Post-operative mortality rate was 7.6%. The most dangerous complication after esophageal plastic surgery is blood supply insufficiency. It was observed in 2 cases. Other complications included anastomotic leaks and respiratory distress syndrome. The authors emphasize that frequency of post-operative complications and mortality are related with the patient general condition and extent of the surgery.
Subject(s)
Esophagus/surgery , Plastic Surgery Procedures/methods , Postoperative Complications/diagnosis , Adolescent , Adult , Child , Female , Humans , Male , Middle Aged , Retrospective StudiesABSTRACT
Own experience regarding treatment of 25 iatrogenic oesophageal lesion are discussed. Diagnosis was established mainly by x-ray examination with the water soluble contrast and plain chest x-ray. One patient was treated conservatively. 24 were operated. All patients received antibiotics intravenously and for local mouth rinse. Operations consists of chest drainage and exclusion of oesophagus from food passage by gastrostomy. Treatment in all cases resulted in healing of oesophageal lesion.
Subject(s)
Esophageal Perforation/diagnostic imaging , Iatrogenic Disease , Anti-Bacterial Agents/administration & dosage , Drainage/methods , Esophageal Perforation/therapy , Gastrostomy , Humans , Injections, Intravenous , RadiographyABSTRACT
Endoscopic bouginage of benign esophageal and cardial strictures was compared with surgical treatment. Bouginage was performed by Celestin or Eder-Puestow bougies. Results obtained suggest usefulness of bouginage in many patients with benign stenosis of the upper gastrointestinal tract.
Subject(s)
Esophageal Stenosis/therapy , Esophagoscopy/methods , Stomach Diseases/therapy , Adult , Aged , Aged, 80 and over , Cardia/surgery , Constriction, Pathologic/therapy , Dilatation/instrumentation , Dilatation/methods , Esophagus/surgery , Female , Humans , Male , Middle AgedABSTRACT
The authors present seven cases of benign oesophageal tumours treated in hospital in the years 1972-1990. Among the treated patients were six men and one woman, aged from 30 to 70 years. In four patients the tumour was situated in the middle part of the thoracic segment, and in three cases in the lower part of the supradiaphragmatic segment of the oesophagus. The diagnosis od benign oesophageal tumour was made on the basis of X-ray examination, oesophagoscopy, and histopathological examination. Five patients were treated surgically. In two patients the access to the tumour was from the right pleural cavity, and in three other cases--from the abdominal cavity. The result of histopathological examination of the removed tumours was as follows: in two patients--benign polyps, in one patient--mature teratoma, in one female patient--myxofibroma, and in one case--fibromyoma. In all patients operated on complete cure was achieved.
