Foregut: The Journal of the American Foregut Society最新文献

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Physiological Archetypes of de novo Gastroesophageal Reflux Disease After Laparoscopic Sleeve Gastrectomy 腹腔镜袖带胃切除术后新发胃食管反流病的生理原型

Foregut: The Journal of the American Foregut Society Pub Date : 2023-12-24 DOI: 10.1177/26345161231218918

Vitor Ottoboni Brunaldi, Omar M. Ghanem, B. A. Abu Dayyeh

引用次数: 0

Delayed Esophageal Reconstruction: Indications, Techniques, and Outcomes 延迟食管重建：适应症、技术和结果

Foregut: The Journal of the American Foregut Society Pub Date : 2023-11-25 DOI: 10.1177/26345161231212388

J. Treffalls, Christian P. Jacobsen, Nitin Das, Rebecca A. Medina, Marc Koch, D. DeArmond, Scott B. Johnson

{"title":"Delayed Esophageal Reconstruction: Indications, Techniques, and Outcomes","authors":"J. Treffalls, Christian P. Jacobsen, Nitin Das, Rebecca A. Medina, Marc Koch, D. DeArmond, Scott B. Johnson","doi":"10.1177/26345161231212388","DOIUrl":"https://doi.org/10.1177/26345161231212388","url":null,"abstract":"The purpose of this study was to evaluate indications, techniques, and outcomes of patients who underwent delayed esophageal reconstruction. A retrospective chart review was performed for all esophagectomy patients who underwent delayed esophageal reconstruction from 2006 to 2020. Demographics, surgical indication, type of esophageal discontinuity procedure performed, duration between esophagectomy and reconstruction, type and technique of reconstruction performed, follow-up duration, change in body mass index, and overall outcome were assessed. Fifteen patients (8 women, 53.3%) with a median age of 57.6 years (IQR 50.5-66.7 years) were included. Etiology necessitating foregut discontinuity included: delayed postoperative complications in 6 (40.0%), iatrogenic injury in 3 (20.0%), strangulated bowel in 3 (20.0%), trauma in 2 (13.3%), and esophageal cancer in 1 (6.7%). Median duration of esophageal discontinuity was 277 days (range 105-1045). Eleven patients (73%) underwent a substernal colon interposition; 2 (13%) substernal gastric advancement; and 2 (13%) small bowel advancement in the posterior mediastinum with jejunum via Roux-en-Y. Complications were noted in 7 (47%) patients. Median decrease in BMI was 4.7 (IQR 1.4-12.4). Overall, 11 (73.3%) patients had a good outcome, 3 (20.0%) patients had a fair outcome, and 1 poor outcome (6.7%). The median follow-up duration since reconstruction was 4.2 (IQR 2.8-5.4) years. Delayed esophageal reconstruction can be performed with acceptable outcomes with careful preparation and often require lengthy recoveries.","PeriodicalId":508891,"journal":{"name":"Foregut: The Journal of the American Foregut Society","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139236648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Palliative Care for Advanced Esophageal Cancer: Solomon Islands and Fiji Perspective 晚期食道癌的姑息治疗：所罗门群岛和斐济的视角

Foregut: The Journal of the American Foregut Society Pub Date : 2023-11-21 DOI: 10.1177/26345161231211750

Denton Aota, Eileen Natuzzi, C. Hair, Mai Ling Perman, Simon Wale, Scott Siota

引用次数: 0

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