Significance of a modified decompression method in enhancing the safety of esophagus operations.
OBJECTIVE
Every esophageal surgeon employees methods to reduce the risk of infection caused by the pool of debris and organisms proximal to a destructive esophageal lesion and to prevent distension of the viscera adjacent to the suture line of the anastomosis.


METHODS
The authors report on a retrograde drainage which was devised to prevent the distension of the loop adjacent to anastomosis following esophagectomy.


RESULTS
This modified decompression method and simultaneous enteral feeding decreased the frequency of postoperative pulmonary complications significantly (1973-90 complication rate: 16.5% - 119/722 vs. 1990-95 complication rate: 7.7% - 17/221).


CONCLUSIONS
The retrograde drainage facilitates safe and effective decompression even in the recumbent position, doesn't inconvenience the patient, promotes early mobilization and can be maintained till complete recovery of the anastomosis.
Altorjay
A
A
Department of Surgery, Postgraduate Medical University, Budapest, Hungary.
Kiss
J
J
Vörös
A
A
D000714:Anastomosis, Surgical / Q000379:methods; D019299:Decompression, Surgical / Q000379:methods; D004322:Drainage / Q000379:methods; D004750:Enteral Nutrition; D016629:Esophagectomy / Q000379:methods*; D006801:Humans; D008171:Lung Diseases / Q000517:prevention & control*; D011183:Postoperative Complications / Q000517:prevention & control