Document Detail


Reversing esophageal discontinuity.
MedLine Citation:
PMID:  17403458     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Catastrophic esophageal or gastric disruption drive the decision to "disconnect" the esophagus to prevent ongoing mediastinal soilage. The operations used to establish esophageal discontinuity are not standardized and vary widely, the surgeon often focusing on saving the patient's life, not on how alimentary continuity will ultimately be restored. Patients who survive the initial disastrous infectious complications are typically desperate to have further surgery to allow them to eat again. Relatively little is written about the decisions involved in reversing esophageal discontinuity--the timing of the operation, preoperative assessment and preparation, planning and conduct of the operation, and outcome. The nuances of reestablishing alimentary continuity in this disparate patient population are the focus of this article.
Authors:
Mark B Orringer
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Seminars in thoracic and cardiovascular surgery     Volume:  19     ISSN:  1043-0679     ISO Abbreviation:  Semin. Thorac. Cardiovasc. Surg.     Publication Date:  2007  
Date Detail:
Created Date:  2007-04-03     Completed Date:  2007-07-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8917640     Medline TA:  Semin Thorac Cardiovasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  47-55     Citation Subset:  IM    
Affiliation:
Section of General Thoracic Surgery, University of Michigan Medical Center, Ann Arbor, Michigan 48109, USA. morrin@med.umich.edu
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MeSH Terms
Descriptor/Qualifier:
Anastomosis, Surgical / methods*
Colon / injuries,  surgery
Critical Care
Decision Making
Digestive System Surgical Procedures / methods*
Esophageal Diseases / etiology,  surgery*
Esophagectomy / adverse effects
Esophagostomy / adverse effects
Esophagus / injuries,  surgery*
Humans
Mediastinitis / etiology
Perioperative Care
Postoperative Complications
Stomach / injuries,  surgery
Treatment Outcome*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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