Oesophagectomy

Oesophagectomy (or esophagectomy) is a surgical procedure that involves excision of the majority of the oesophagus and part of the proximal stomach, usually as a treatment for oesophageal carcinoma or carcinoma of the gastric cardia, although benign conditions (e.g. stricture) can be treated with this approach.

Oesophagectomies are usually classified as either

There are also different types of oesophageal interposition:

  • gastric pull-through (most common)
  • colonic interposition
  • jejunal interposition

Complications

These surgeries are technically demanding and have a high complication rate. Complications depend on the type of oesophagectomy, but include

  • pulmonary complications, esp. with a transthoracic approach
    • highest mortality rate
  • leak (with possible subsequent mediastinitis)
    • anastomosis (most common site)
    • gastric staple line
    • at pyloroplasty
  • recurrent laryngeal nerve injury
  • haemorrhage
  • chylothorax
  • delayed gastric emptying
  • dumping syndrome
  • anastomotic stricture
  • recurrent disease

See: fluoroscopic evaluation of oesophagectomy

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rID: 43139
Synonyms or Alternate Spellings:
  • esophagectomy

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