Ten patients were included in this study, six of them, with oesophageal
cancer and four with corrosive stricture. All patients had oesophageal re
section and substitution of the osophagus with afundus 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. Anastomotic leak (one minor leak) was found in one patient
with no subsequent mortality. Further major morbidity included pulmo
nary 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 dilata
tion with satisfactory outcome. Fundus rotation is a new method of gastroplasty
that allows safe anastomosis of the tube with the remaining oe
sophagus 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 gas
tric reservoir to be located intra-abdominally. |
