Matches in SemOpenAlex for { <https://semopenalex.org/work/W26778871> ?p ?o ?g. }
Showing items 1 to 66 of
66
with 100 items per page.
- W26778871 abstract "In a prospective randomised study following oesophagectomy and gastric tube reconstruction patients with hand-sutured neck anastomoses were compared with patients with circular stapled chest anastomoses. The two groups had equal rates of anastomotic or conduit leaks of 7.3 % (3/41) and 7.1 % (3/42) and of benign anastomotic strictures of 19.5 % (8/41) and 28.6 % (12/42). Another prospective randomised study showed that chest draining in uncomplicated oesophagectomies can be safely managed by a portable lightweight system instead of a stationary one as judged by equal rates of pleural effusions (18 %), atelectases (17 %), and spontaneously resolved pneumothorax (13 %). Following oesophageal resection and replacement with a gastric tube the oesophageal remnant proximal to the anastomoses cleared 70 % of a swallowed bolus within 15 seconds irrespective of the anastomotic site in the neck or in the chest. The transposed stomach had a half-emptying time of one hour, a feature that may suggest backward reflux of the contents of the conduit. Pharyngeal reflux following the gastric reconstruction as determined by pH studies was low (0.2-0.96 %) during the study year, but was more pronounced in patients with neck than with chest anastomoses (p=0.002). The difference may be an effect of the additional surgical trauma and subsequent healing when a cervical approach is used compared with when it is omitted in chest anastomoses. Oesophago-gastric anastomoses dilate during the first postoperative year, however not to the diameters of Roux-en-Y oesophago-jejunal anastomoses after total gastrectomy. Benign anastomotic strictures and narrower anastomoses were more frequent after gastric tube reconstructions (47 dilatations in 107 patients; anastomotic diameter 20-23 mm) than following oesophago-jejunal Roux-en-Y-reconstructions (7 dilatations in 149 patients; anastomotic diameters 26-30.5 mm). With a hospital mortality rate of 1.4 % (2/139) in oesophagectomy patients, the tumour stage was the only significant predictor for long-term survival rates, whereas age above or below 70, or tumour type were not significant predictors. Irrespective of the anastomotic site or of tumour recurrence during the first postoperative year, patients with gastric (n=125), colon (n=10) or jejunal (n=4) reconstructions after oesophagectomy had no dysphagia in approximately 75 %, and severe dysphagia in 5 % or less. Patients with adenocarcinoma at the gastro-oesophageal junction and Barrett's metaplasia presented more frequently in an earlier tumour stage with reflux related symptoms and bleeding than those without Barrett's who had advanced tumour stage and dysphagia." @default.
- W26778871 created "2016-06-24" @default.
- W26778871 creator A5026031446 @default.
- W26778871 date "2000-01-01" @default.
- W26778871 modified "2023-09-24" @default.
- W26778871 title "Oesophageal Resection with Gastric Tube Reconstruction - A clinical study of a surgical method and its consequences on the upper gastrointestinal tract and survival" @default.
- W26778871 hasPublicationYear "2000" @default.
- W26778871 type Work @default.
- W26778871 sameAs 26778871 @default.
- W26778871 citedByCount "1" @default.
- W26778871 countsByYear W267788712013 @default.
- W26778871 crossrefType "dissertation" @default.
- W26778871 hasAuthorship W26778871A5026031446 @default.
- W26778871 hasConcept C121608353 @default.
- W26778871 hasConcept C126322002 @default.
- W26778871 hasConcept C141071460 @default.
- W26778871 hasConcept C2777297899 @default.
- W26778871 hasConcept C2779134260 @default.
- W26778871 hasConcept C2779422922 @default.
- W26778871 hasConcept C2779742542 @default.
- W26778871 hasConcept C2780470880 @default.
- W26778871 hasConcept C2781150406 @default.
- W26778871 hasConcept C3020479747 @default.
- W26778871 hasConcept C43270747 @default.
- W26778871 hasConcept C71924100 @default.
- W26778871 hasConcept C8443397 @default.
- W26778871 hasConceptScore W26778871C121608353 @default.
- W26778871 hasConceptScore W26778871C126322002 @default.
- W26778871 hasConceptScore W26778871C141071460 @default.
- W26778871 hasConceptScore W26778871C2777297899 @default.
- W26778871 hasConceptScore W26778871C2779134260 @default.
- W26778871 hasConceptScore W26778871C2779422922 @default.
- W26778871 hasConceptScore W26778871C2779742542 @default.
- W26778871 hasConceptScore W26778871C2780470880 @default.
- W26778871 hasConceptScore W26778871C2781150406 @default.
- W26778871 hasConceptScore W26778871C3020479747 @default.
- W26778871 hasConceptScore W26778871C43270747 @default.
- W26778871 hasConceptScore W26778871C71924100 @default.
- W26778871 hasConceptScore W26778871C8443397 @default.
- W26778871 hasLocation W267788711 @default.
- W26778871 hasOpenAccess W26778871 @default.
- W26778871 hasPrimaryLocation W267788711 @default.
- W26778871 hasRelatedWork W1976891456 @default.
- W26778871 hasRelatedWork W1980149773 @default.
- W26778871 hasRelatedWork W1992782924 @default.
- W26778871 hasRelatedWork W1994545366 @default.
- W26778871 hasRelatedWork W2031264022 @default.
- W26778871 hasRelatedWork W2036981988 @default.
- W26778871 hasRelatedWork W2051195961 @default.
- W26778871 hasRelatedWork W2076396324 @default.
- W26778871 hasRelatedWork W2124466998 @default.
- W26778871 hasRelatedWork W2128706664 @default.
- W26778871 hasRelatedWork W2163935102 @default.
- W26778871 hasRelatedWork W2167079837 @default.
- W26778871 hasRelatedWork W2366095753 @default.
- W26778871 hasRelatedWork W2367978687 @default.
- W26778871 hasRelatedWork W2370549027 @default.
- W26778871 hasRelatedWork W2377904123 @default.
- W26778871 hasRelatedWork W2417084656 @default.
- W26778871 hasRelatedWork W2969856001 @default.
- W26778871 hasRelatedWork W3024524463 @default.
- W26778871 hasRelatedWork W39610331 @default.
- W26778871 isParatext "false" @default.
- W26778871 isRetracted "false" @default.
- W26778871 magId "26778871" @default.
- W26778871 workType "dissertation" @default.