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Revista Cubana de Cirugía

versión impresa ISSN 0034-7493versión On-line ISSN 1561-2945

Resumen

GARCIA GUTIERREZ, Alejandro; ROQUE ZAMBRANA, Francisco; CRUZ GOMEZ, Abigaíl  y  BORBOLLA BUSQUETS, Elvira. Reemplazo del esófago con segmentos pediculados de yeyuno. Rev Cubana Cir [online]. 1998, vol.37, n.1, pp.13-20. ISSN 0034-7493.

2 esophagoplastias with pedunculated segments of jejunum were presented. The indications, the main details of the technique, the complications, mortality and the late results are exposed. In 80,9 % of the patients the indications were achalasia (megaesophagus or failure of Heller`s technique) and the nondilatable stenosis to reflux esophagitis. A new technique by a combined, abdominal and right thoracic route was used in 4 patients. The dehiscence of the esophagojejunal anastomosis was the most common complication (6 patients with 2 deaths). Postoperative mortality was 12.0 %, which decreased to 5.0 % in the last 20 patients operated on. The interposed jejunal segment fulfilled efficiently the transit and sphincteral functions of the esophagus. It is concluded that this technique should be used to replace the distal esophagus in bening stenosis that cannot be solved by conservative methods and, exceptionally, in other pathological processes, as well as for total and subtotal replacements the esophagus when there is no other alternative

Palabras clave : ESOPHAGOPLASTY [methods]; ESOPHAGOPLASTY [adverse effects]; JEJUNUM [transplantation]; ESOPHAGUS [surgery]; POSTOPERATIVE COMPLICATIONS; EVALUATION OF RESULTS OF THERAPEUTIC INTERVENTIONS.

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