Operations to Resect, Replace, or Bypass the Esophagus for Cancer
A number of surgeons have asserted that resection of the lower esophagus and proximal stomach for lesions near the gastric cardia, followed by esophagogastric anastomosis, is an operation with a high mortality rate and a high incidence of reflux esophagitis. On the other hand, we have observed that very few patients experience serious symptoms of reflux esophagitis following esophagogastrectomy with an end-to-side anastomosis. No dietary restrictions have been necessary. In 44 consecutive cases, among patients whose average age was over 70, we encountered (and reported) no clinical anastomotic leaks and no deaths.
KeywordsChronic Obstructive Pulmonary Disease Anastomotic Leak Esophageal Carcinoma Reflux Esophagitis Gastric Cardia
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