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OESOPHAGOPLASTY FOR MALIGNANT OBSTRUCTION OF THE OESOPHAGUS FOLLOWING PREVIOUS PARTIAL GASTRECTOMY
Author(s) -
MCCAUGHAN B. C.,
LAM K. H.,
WONG J.,
ONG G. B.
Publication year - 1982
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1982.tb06013.x
Subject(s) - medicine , gastrectomy , jejunum , swallowing , surgery , stage (stratigraphy) , stomach , gastroenterology , general surgery , cancer , paleontology , biology
The management of 19 patients with malignant obstruction of the oesophagus who previously had undergone partial gastrectomy was reviewed. With stomach unavailable for oesophagoplasty, the jejunum was used in 12 patients, and the colon in seven patients, tor reconstruction or bypass. The technique recommended is jejunal oesophagoplasty. Surgical intervention to restore swallowing in this group of patients has been associated with a 52% hospital mortality and a considerable morbidity. Because of the late stage of the disease, survival beyond two‐three years after a successful operation has not been possible so far.