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Intravenous hyperalimentation as an adjunct to colon interposition for carcinoma of the esophagus
Author(s) -
Frazier Thomas G.,
Copeland Edward M.,
Khalil Kamal G.,
Dudrick Stanley J.,
Mountain Clifton F.
Publication year - 1977
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(197702)39:2<410::aid-cncr2820390206>3.0.co;2-z
Subject(s) - medicine , anastomosis , surgery , esophagus , aspiration pneumonia , pneumonia , carcinoma , weight loss , colon carcinoma , colorectal cancer , cancer , obesity
Ten consecutive malnourished patients with undifferentiated squamous cell carcinoma of the esophagus underwent operation for colon interposition. They received intravenous hyperalimentation preoperatively and/or post‐operatively for an average time of 21.5 days and had an average weight gain of 6.5 Ib. There was no significant gastrointestinal morbidity, but one patient succumbed to aspiration pneumonia. All ten patients had postoperative gastrografin swallow radiography which showed no leaks in either anastomosis. With proper use of intravenous hyperalimentation, morbidity and mortality following colon interposition in the malnourished patient for either palliative or curative bypass can be decreased to acceptable levels.