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2014, Number 4

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Revista Cubana de Cirugía 2014; 53 (4)

Surgical treatment of benign and malignant esophageal diseases

López AWM, Ricardo HE, Velázquez BM, Almeida ADA

Language: Spanish
References: 23
Page: 378-387
PDF size: 102.40 Kb.


ABSTRACT

Introduction: the esophageal resection is a complex technique that have been improving in order to decrease the morbidity and mortality rates in the patient who suffer esophageal illness.
Objective: to identify the behavior of patients with esophageal resection.
Methods: a retrospective and descriptive study was conducted in order to identify the behavior of patients with esophageal resections in "Carlos Manuel de Cespedes" hospital in the period from January 2010 to December 2013. The sample consisted of 24 patients.
Results: the most affected age group was 60 to 69 years and male sex; the usual resection technique was transhiatal; the tumors were the main cause of resection, the jejunostomy as feeding pathway, using the almost the whole stomach, with pyloroplasty replacing the esophagus, one layer suture in anastomosis. The cervical fistula was the most frequent complication whereas pneumothorax and bronchopneumonia were the main causes of re-operation and death respectively.
Conclusions: the esophageal resections are performed more often in aged patients, usually in individuals with malignancies, and are associated with many complications, being the respiratory infections the most severe ones. The transhiatal esophagectomy using almost the complete stomach and jejunostomy are advantages for this type of patients, since most of the complications can be resolved with conservative measures and less complex surgical procedures.


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