title: [Emergency reoperation for breakdown of sutures of an intrathoracic oeso-digestive anastomosis (author's transl)].
abstract: The authors report five cases of emergency reoperation for breakdown of an intrathoracic oeso-digestive anastomosis.
  
  
  RESULTS
  1 death, 1 failure, new fistula formation but with spontaneous cure within 20 days, 3 primary cures. The success of these reoperations seems to us to depend narrowly: - on the rapidity of diagnosis, facilitated at present by early radiological examination; - on the absolute emergency of reoperation as soon as the breakdown is obvious radiologically and clinically, - on the strictness of surgical technic which should be the same as for a cold operation. Early radiological examination of the digestive anastomoses has permitted better understanding of the mechanisms of the breakdown, emphasising: - firstly, the importance of complete hemostasis; - secondly, the suppression of any dead space around the anastomosis.
mesh_terms: D000328:Adult; D004630:Emergencies; D004937:Esophageal Fistula / Q000209:etiology* / Q000601:surgery; D004938:Esophageal Neoplasms / Q000601:surgery*; D004947:Esophagus / Q000601:surgery; D005747:Gastric Fistula / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology* / Q000601:surgery; D007583:Jejunum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013270:Stomach / Q000601:surgery; D013529:Surgical Wound Dehiscence / Q000000981:diagnostic imaging* / Q000601:surgery
vernacular_title: Réinterventions en urgence pour lâchage d'anastomose oeso-digestive intrathoracique.