title: [Staged oesophageal reconstruction for benign disease].
abstract: OBJECTIVE
  To assess morbidity, mortality and quality of life after oesophageal reconstruction in patients with oesophageal exclusion for benign diseases.
  
  
  METHODS
  From 2002 to 2011, 20 of 24 patients with esophageal exclusion due to benign disease underwent a delayed reconstruction. We analyzed morbidity, mortality and health-related quality of life using the SF-36 questionnaire, before and after reconstruction.
  
  
  RESULTS
  Twenty patients were operated (16 men and 4 women) with an average age of 54.5 ± 10.5 years. Main causes of oesophageal disconnection were: 10 cases of caustics ingestion, 3 iatrogenic perforations, 4 anastomotic leaks and 3 cases with Boerhaave syndrome. Fourteen (60%) coloplasties and 6 (25%) gastric interpositions were performed with an average time of 212,2 ± 23.5 days after oesophageal exclusion. Pulmonary complications were the most common postoperative complications (55% patients) and according to the modified Clavien classification were divided into: grade 1 (10%), grade 2 (15%), grade 3a (40%), grade 3b (10%), and grade 4a (10%). The 30-day mortality (grade 5) of the series was 10%. Quality of life after reconstruction improved significantly in all analyzed domains of the SF-36 questionnaire.
  
  
  CONCLUSIONS
  Deferred oesophageal reconstruction is associated with a high morbidity and a mortality rate of 10%. After reconstruction, the quality of life improved in all the parameters evaluated.
authors.affiliation: Departamento de Cirugía General, Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, España. dretomassetti@gmail.com
authors.forename: Juan Ramón
authors.initials: JR
authors.lastname: Hernández Hernández
authors.forename: Yurena
authors.initials: Y
authors.lastname: Caballero Diaz
authors.forename: Eudaldo
authors.initials: E
authors.lastname: López-Tomassetti Fernández
authors.forename: Mariela
authors.initials: M
authors.lastname: Braithwaite
authors.forename: Valentín
authors.initials: V
authors.lastname: Núñez Jorge
mesh_terms: D004935:Esophageal Diseases / Q000601:surgery*; D004944:Esophagoplasty / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D011788:Quality of Life