[Inflammatory stenosis of a brachy-esophagus].
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Biomedical subjects
Publications and source records attributed to R Delacroix.
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One hundred patients with cancer of esophagus, including approximately 30% of serious cases as a result of age or associated affections, were treated by surgery between 1978 and 1982. The operative mortality of 6% confirms the evolution observed currently in specialized departments throughout the world.
UNLABELLED: The authors report five cases of emergency reoperation for breakdown of an intrathoracic oeso-digestive anastomosis. RESULTS: 1 death, 1 failure, new fistula formation but with spontaneous cure within 20 days, 3 primary cures. The success of these reoperations seems to us to depend narrowly: - on the rapidity of diagnosis, facilitated at present by early radiological examination; - on the absolute emergency of reoperation as soon as the breakdown is obvious radiologically and clinically, - on the strictness of surgical technic which should be the same as for a cold operation. Early radiological examination of the digestive anastomoses has permitted better understanding of the mechanisms of the breakdown, emphasising: - firstly, the importance of complete hemostasis; - secondly, the suppression of any dead space around the anastomosis.
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Explore the source record for details and available documents.
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