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At least 541 records · Page 30Linked to original sources
PubMed1994

[Esophagus: postoperative aspects].

Although endoscopy has replaced radiology for the diagnosis of diseases of the oesophagus, postoperative imaging still remains essential. The radiological investigation depends on the initial disease, and its technique is adapted to the suspected complication and the type of operation performed. Immediately postoperatively, a barium swallow allows verification of the surgery before reintroducing food. The early diagnosis of possible complications is based on the barium swallow and CT scan. At a longer interval after the operation, medical imaging, particularly barium swallow, allows anatomical and functional postoperative surveillance. Relapses of the initial disease, particularly neoplastic recurrences can be distinguished from an intercurrent disease or a mechanical complication due to the operation.

Esophageal Diseases↗
PubMed1994

[Clinical application and technical problems of colonic interposition for esophageal substitution].

From Jan. 1980 to Jan. 1991, A total 41 patients, including 22 patients with corrosive stricture after esophageal chemical burns, 10 patients with cancer of the laryngopharynx, 7 patients with esophageal cancer and 1 case of cardiac carcinoma, underwent of colonic interposition for esophageal substitution. This accounted 0.7% of all of the esophageal reconstruction during the same period. There were 23 cases of retrosternal colonic bypass and 18 cases of trans-hiatal inversion-stripping esophagectomy without thoracotomy. The main postoperative complications were anastomotic leakage at the cervical region and incision infection, but no mortality. The indications, choice of the colonic segment and the technical problems of this operation were discussed.

Adolescent↗
PubMedDate not supplied

[Radiologic evaluation of the invasiveness of obliterative esophageal tumors].

An original method of double contrast staining of the esophagus performed at the height of Muller's test has been developed and tried in 170 patients with obturating cancer of the esophagus. The composition and preparation of the mixture used is described, as well as the steps of the technique. The advantages of the new method in comparison with routine double contrast staining are demonstrated, for the extent of cancerous process in the caudal direction was accurately determined in each case. The authors recommend their method for surgical clinics and radiological departments to be used for determining the scope of surgical intervention and specifying the topometry before radiotherapy.

Adult↗
PubMed1975

[Total substitution of the esophagus after resection or as a temporary measure (author's transl)].

In recent years, communications have been made repeatedly on methods for substitution of the esophagus after total extirpation or as a temporary measure. However, under the impression of disappointments and resignation, the statistical material has remained small and so far it has not been possible to develop a skilled standard procedure. On the other hand, a partial substitution of the lower third of the esophagus by stomach has become a much-practised and usually successful surgical procedure. Total resection of the esophagus with surgical transposition is a big intervention, especially when perfomred as a single operation. But it is our opinion that when the patient's condition is satisfactory in respect of the indication for operation, one should certainly be critical but on the whole less restrained.

Age Factors↗
PubMed1979

Palliative treatment of obstructing esophagogastric malignancy by endoscopic positioning of a plastic prosthesis.

Two hundred patients with obstructing esophagogastric malignancy were treated with positioning of a plastic prosthesis. With the aid of a small caliber fiberendoscope and a pusher tube, the prosthesis was positioned under continuous visual control, using only local anesthesia. Seventy-seven patients had esophageal carcinoma, 25 had pulmonary carcinoma obstructing the esophagus, and 98 had gastric carcinoma. Of the latter, 21 had extensive stomach involvement and 8 had local tumor recurrence after esophagojejunostomy. A bronchoesophageal fistula was present in 17 patients. Complications were bleeding (3), perforation (16) with only one death, and obstruction either due to food impaction (13), tumor overgrowth (17), or reflux esophagitis (5); the latter two conditions were corrected by changing the tube in all cases. Tube migration occurred frequently, but could be prevented by adapting the shape of the prosthesis. The procedure was performed as ultimate palliation in patients unfit for surgical insertion and had a low mortality rate of 2%. In general, there was marked improvement in the quality of life.

Adenocarcinoma↗
PubMed1998

[Preoperative staging of stenosing esophageal carcinoma--prospective comparison of mini-endosonography with conventional endosonography].

Staging of esophageal malignancies can easily and safely be performed with ultrasonic miniprobes. Unlike large-diameter ultrasonic instruments, miniprobes may pass even high-grade malignant esophageal strictures without prior bouginage. Image quality and resolution of miniprobe sonography exceeds that of conventional endosonography, thus achieving higher accuracy rates for T staging, while those for N staging have found to be similar. As miniprobe sonography is able to improve patients' convenience and security and is highly cost effective compared to conventional endosonography, miniprobe sonography appears to be a valuable addition to the staging armamentarium in esophageal carcinoma.

Adenocarcinoma↗
PubMed1982

Cough dynamics in oesophageal cancer: prevention of postoperative pulmonary complications.

The value of the cough reflex and its pressure and flow in the immediate postoperative period was measured in patients who underwent subtotal oesophagectomy and reconstruction for oesophageal cancer and other thoracic surgery. Twenty-two patients with subtotal oesophagectomy and reconstruction were found to have an extensive reduction in cough reflex and force, compared with those who had undergone pulmonary lobectomy. Damage to the vagal nerve caused by dissection of the paratracheal lymph nodes, and injury to the diaphragm during operation for oesophageal cancer appeared to be responsible for the inability to cough. It was of interest that the patients who showed a high value of cough reflex and force in the immediate postoperative period had few pulmonary complications. The postoperative measurement of cough ability may be a useful indicator for safe extubation of the intratracheal tube, as a means of preventing pulmonary complications after thoracic surgery. Continuous mechanical ventilation and frequent suction to remove retained secretions are strongly recommended for the patients who are unable to cough properly.

Aneurysm↗