[Treatment of esophageal fistulas after gastrectomy. Apropos of 4 cases].
The authors report 4 cases of esophageal fistula following a total gastrectomy. One patient died after a reoperation for a subphrenic abscess, another just before a coloplasty 3 months after an esophageal exclusion. Two patients have been successfully treated by an operation which comprised the removal of the fistula and an intra-thoracic esophago-jejunal anastomosis. This procedure, albeit risked, is probably a better option than the esophageal exclusion usually recommended, particularly in the patients with a malignant disease who have a short life expectancy.
Service de Chirurgie Générale et Digestive, CHU de Bordeaux.
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Collet
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Ledaguenel
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Périssat
D000230:Adenocarcinoma / Q000601:surgery*; D000714:Anastomosis, Surgical; D004937:Esophageal Fistula / Q000209:etiology* / Q000601:surgery; D017809:Fatal Outcome; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D012086:Reoperation; D013274:Stomach Neoplasms / Q000601:surgery*
Traitement des fistules oesophagiennes après gastrectomie. A propos de 4 observations.