title: [Management of delayed complications after esophagectomy].
abstract: Esophagectomy and subsequent reconstruction represent major physiological insults to the upper gastrointestinal (GI) tract, which as a consequence can lead to malnutrition, dysphagia and reflux. From a technical perspective, operative reconstruction involving gastric pull-up with a 2-3 cm wide tube and an anastomosis cranial to the azygos vein may minimize the symptoms. Overall, the problems tend to improve approximately 6 months after the operation. Newly occurring delayed physical functional impairments with previously known underlying malignant disease may be indicative of cancer relapse. Interventional techniques, such as stent placement or brachytherapy may be better suited for treatment of recurrent disease.
authors.affiliation: Klinik für Allgemein-, Viszeral- und Kinderchirurgie, Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Beham
authors.affiliation: Klinik für Allgemein-, Viszeral- und Kinderchirurgie, Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Dango
authors.affiliation: Klinik für Allgemein-, Viszeral- und Kinderchirurgie, Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Deutschland. mghadim@uni-goettingen.de.
authors.forename: B M
authors.initials: BM
authors.lastname: Ghadimi
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D003680:Deglutition Disorders / Q000175:diagnosis / Q000628:therapy; D016629:Esophagectomy / Q000009:adverse effects*; D005764:Gastroesophageal Reflux / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D044342:Malnutrition / Q000175:diagnosis / Q000628:therapy; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis / Q000628:therapy; D011183:Postoperative Complications / Q000175:diagnosis / Q000628:therapy*; D013270:Stomach / Q000601:surgery
keywords: Dysphagia; Esophageal cancer; Gastric pull-up; Malnutrition; Reflux