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S U Pai

Publications and source records attributed to S U Pai.

4 recordsLinked to original sources
PubMed1996

Stomach as a conduit for esophagus--a study of 105 cases.

BACKGROUND: The stomach is a well known esophageal substitute. To analyze the mortality and morbidity following total laryngopharyngoesophagectomy (TLPE) with pharyngogastric anastamosis done as a single-stage procedure. METHODS: The technique employed was esophageal extraction by stripping method followed by gastric pull up. In 104 patients transportation of the stomach was done through posterior mediastinum and in one patient through presternal route. RESULTS: Significant post-operative complications included pharyngocutaneous fistula in 15 patients (14.3%) and pneumonitis in 20 patients (19%), Fifteen patients (14.3%) died due to the causes related to surgery. All patients who survived were able to swallow solid and liquid food, on an average of 14 days post-operatively. CONCLUSION: The stomach as a conduit following TLPE is a procedure which has given satisfying results when done in carefully selected patients.

Adult↗
PubMed1996

Stomach as a conduit for esophagus--a study of 105 cases.

BACKGROUND: The stomach is a well known esophageal substitute. To analyze the mortality and morbidity following total laryngopharyngoesophagectomy (TLPE) with pharyngogastric anastamosis done as a single-stage procedure. METHOD: The technique employed was esophageal extraction by stripping method followed by gastric pull up. In 104 patients transposition of the stomach was done through posterior mediastinum and in one patient through presternal route. RESULTS: Significant post-operative complications included pharyngocutaneous fistula in 15 patients (14.3%) and pneumonitis in 20 patients (19%). Fifteen patients (14.3%) died due to the causes related to surgery. All patients who survived were able to swallow solid and liquid food, on an average of 14 days post-operatively. CONCLUSION: The stomach as a conduit following TLPE is procedure which givens satisfying results when done in carefully selected patients.

Adult↗
PubMed1991

The ileosigmoid knot.

The ileosigmoid knot (ISK) is a rare cause of intestinal obstruction. Unfamiliarity with the condition could have disastrous consequence at surgery. Over the past 20 years, we have encountered seven cases. Analyzing the data gathered from these, and on reviewing the literature, we found it possible to arrive at a preoperative diagnosis in two patients. Four patients were women, two of whom developed the obstruction in the postpartum period. One of the males was found to have an inflamed Meckel's diverticulum included in the knotting. The symptoms and the clinical findings were nonspecific. The characteristic x-ray findings of a double closed loop obstruction, was seen in only three patients. Resection of gangrenous bowel with anastomoses was feasible in four. Unlike in other series, primary anastomosis of the large gut was undertaken. There were two deaths early in the series. Guidelines to the management have been suggested.

Adult↗