TY - JOUR AU - Bilal, Aamir AU - Salim, Muhammad AU - Aslam, Viqar AU - Nishter, Tahira AU - Hussain, Adil AU - Ali, Gohar AU - Khan, Arshad AU - Alam, Intikhab AU - Farooqi, Javed Iqbal AU - Hameed, Abdul AU - Khan, Ejaz AU - Hameed, Khalid AU - Gillani, Jawad AU - Ilyas, Abbas PY - 2011/07/25 Y2 - 2024/03/29 TI - SIX MONTHS FOLLOW UP STUDY OF TWO HUNDRED CASES OF TRANSTHORACIC OESOPHAGECTOMY JF - Journal of Postgraduate Medical Institute JA - J Postgrad Med Inst VL - 19 IS - 4 SE - Original Article DO - UR - https://www.jpmi.org.pk/index.php/jpmi/article/view/39 SP - AB - <span style="font-family: Times New Roman; color: #1f1a17; font-size: x-small;"><span style="font-family: Times New Roman; color: #1f1a17; font-size: x-small;"><span style="font-family: Times New Roman; color: #1f1a17; font-size: x-small;"><p>Objective: To evaluate the outcome of oesophagectomy with feeding jejunostomy and no gastric drainage</p><p>procedure, during 6 months of follow up.</p><p>Material and Methods: This observational descriptive study was conducted at department of</p><p>cardiothoracic surgery, Lady Reading Hospital Peshawar. Computerized clinical data of 200 surgically</p><p>treated patients with post-op adjuvant therapy from July 2005 to June 2002 was retrospectively analyzed.</p><p>Detailed scrutiny of record was carried out to determine the suitability and safety of the surgical</p><p>procedure and surgical outcome.</p><p>Results: A total of 200 patients (males 130, females 70) with a mean age of 42.3 years underwent</p><p>oesophagectomy. Histology showed squamous cell carcinoma in 66.6% and adenocarcinoma in 33.3%</p><p>patients. Postoperative morbidity was 16.5 % (33/200). The main complications of oesophagectomy were</p><p>anastomotic leak in 12(6%), aspiration in 9(4.5%) and hoarseness in 8(4%) patients. The one-month</p><p>postoperative mortality was 9% (18/200). Deaths were due to tracheal injury in 6(3%), pulmonary</p><p>embolism in 5(2.5%), anastomotic leak in 4(2%) and respiratory failure in 3(1.5%) patients. At 6 months</p><p>follow up, 46 patients (23%) were lost to follow-up and morbidity was 7.8% (12/154). Recurrence occurred</p><p>in 7 (4.5%) cases; 3 patients had stricture and one each had hoarseness and incisional hernia.</p><p>Conclusion: Left thoracolaparotomy and cervical anastomosis is a safe approach for carcinoma of the</p><p>esophagus. Omitting a gastric drainage procedure does not adversely affect the outcome. Routine</p><p>placement of a jejunostomy feeding catheter is a safe and cost effective mode of nutrition.</p></span></span></span> ER -