FUNDUS ROTATION GASTROPLASTY AS A SUBSTITUTE FOR THE OESOPHAGUS AFTER OESOPHAGEAL RESECTION FOR OESOPHAGEAL CANCER AND POST CORROSIVE STRICTURE
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Ten patients were included in this study. six of them with oesophageal cancer and four with corrosive stricture. AU patients had oesophageal resection and substitution of the osophagus with a fundus rotation gastroplasty. seven patients were males, and 3 were females. Their ages ranged from 12 to 75 years. Hospital Mortality was one due to pulmonary embolism. Artastomotic leak (one minor leak) was found in one patient with no subsequent mortality. Further major morbidity included pulmonary dysfunction in the form of acute respiratory distress syndrome (ARDS) in two patients, chest infection in one patient. Finally Anastomotic stricture in one patient needed regular post operative anastomotic dilatation with satisfactory outcome. Fundus rotation is a new method of gastroplasty that allows safe anastomosis of the tube with the remaining oesophagus or pharynx and is associated with a low leak rate even at high cervical levels. Fundus rotation gastroplasty allows a major part of the remaining gastric reservoir to be located intra-abdominally.