Ten patients were included in this study. six of them with oesophageal
cancer and four with corrosive stricture. All 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 Anastomotic 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. |
