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At least 235 records · Page 13Linked to original sources
PubMed1992

[The technic of esophageal extirpation with one-stage esophagoplasty using a stomach tube].

The article deals with the technical aspects of operation for extirpation of the esophagus through a cervico-abdominal approach in carcinoma (133 operations) and benign esophageal strictures (117 operations) with one-stage plastics by means of an isoperistaltic tube formed from the greater curvature of the stomach. The relative safety (2.8% of patients died) and high efficacy of the described operation allow it to be recommended for wide introduction into the practice of institutions engaged in surgery of the esophagus.

Anastomosis, Surgical↗
PubMedDate not supplied

[Colo-pyloric anastomosis with pyloroplasty in esophagoplasty].

A procedure is presented, allowing to include the stomach in the intestinal pathway in cases of oesophagoplasties, preventing at the same time the development of anastomotic peptic ulcers. A colo-pyloric anastomosis is performed with the aboral stump of the elevated colic loop. The colic end is anastomosed terminoterminally to the pylorus, in such a way that a 6--7 cm pylorotomy is performed. The pyloric function is suppressed and the evacuation of the stomach's contents into the duodenum is facilitated. The reflux of the alkaline duodenal fluid is also possible, into the antrum. The duodenum, the antrum, and the aboral part of the elevated colic loop constitute a sort of "cloaca" inside which the acidic gastric secretion is neutralized, partially by the salivary fluid and on the other hand by the duodenal reflux. To such a type of anastomosis vagotomy can also be associated, especially in cases with hyperacidity.

Colon↗