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The Journal of Thoracic and Cardiovascular Surgery, Vol 99, 192-197, Copyright © 1990 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
FH Ellis Jr and SP Gibb
We report the cases of 35 patients with complex benign esophageal disease
who required radical surgical reconstruction. These patients had undergone
63 previous esophageal operations. Twenty-seven patients required
esophagogastrectomy, four had esophageal exclusion before colon
interposition, two had cardioplasty, and two without stricture did not
require resection. Reconstruction was achieved by esophagogastrostomy in
six patients, colon interposition in eight, and acid suppression and
alkaline diversion in 21. One patient died of pneumonia 2 weeks after
esophagogastrostomy. The overall rate of postoperative improvement was 70%,
but the condition of 86% of patients was improved after the
acid-suppression and alkaline-diversion procedure, which is the
reconstructive procedure we prefer in properly selected patients with
complex benign esophageal disease.
ARTICLES
Esophageal reconstruction for complex benign esophageal disease
Department of Thoracic and Cardiovascular Surgery, Lahey Clinic Medical Center, Burlington, MA 01805.
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