title: The surgical treatment of esophageal cancer in Sudan: A 100 consecutive cases.
abstract: OBJECTIVE
  Esophageal cancer is the most common gastrointestinal (GI) cancer in The Sudan. This study aimed to evaluate the outcome of the surgical management.
  
  
  METHODS
  A 100 consecutive patients who underwent esophagectomy in Shaab Hospital in Khartoum during the period June 2003-Aug 2007 were studied.
  
  
  RESULTS
  The mean age was 55 ± 14 years with an equal sex ratio. Fifty five per cent of patients presented with stage III&IV locally advanced and or metastatic disease. Sixty seven percent of the patients underwent a 2-stage resection, Lewis Tanner type while 27% underwent a 3-stage resection, McKeon operation and 6% had total gastrectomy with distal esophagectomy and roux-en-y reconstruction. The 30 days postoperative mortality was 10%. In 75 patients who could be traced, the overall 5 years survival was 21% (n = 16) and the 10 years survival was 8% (n = 6).
  
  
  CONCLUSIONS
  There was great improvement in the early postoperative mortality from 27% in 1986 to 10% in this series. The surgical treatment offered a rapid symptoms relief which suited most patients coming from distant locations and couldn't afford to stay for long in the Capital as will be required if chemo-radiotherapy was used as sole or as a neo-adjuvant treatment.
authors.affiliation: Shaab Teaching Hospital and Department of Surgery, Faculty of Medicine, University of Khartoum, Sudan. Electronic address: rasheid@usa.net.
authors.forename: Mohamed ElMakki
authors.initials: ME
authors.lastname: Ahmed
authors.affiliation: Shaab Teaching Hospital and Department of Surgery, Faculty of Medicine, University of Khartoum, Sudan. Electronic address: seifmahadi@hotmail.com.
authors.forename: Seifeldin Ibrahim
authors.initials: SI
authors.lastname: Mahadi
authors.affiliation: Shaab Teaching Hospital and Department of Surgery, Faculty of Medicine, University of Khartoum, Sudan.
authors.forename: Baha Mohamed
authors.initials: BM
authors.lastname: Ali
mesh_terms: D000230:Adenocarcinoma / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D000328:Adult; D000368:Aged; D000713:Anastomosis, Roux-en-Y / Q000379:methods / Q000401:mortality; D004938:Esophageal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods / Q000401:mortality*; D005260:Female; D005743:Gastrectomy / Q000379:methods / Q000401:mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D011446:Prospective Studies; D013397:Sudan; D015996:Survival Rate; D016896:Treatment Outcome
keywords: Adjuvent; Cancer; Esophagectomy; Esophagus