• 作者：Juan Ramó ; n Hern&#225 ; ndez Hern&#225 ; ndez ; ^{dretomassetti@gmail.com} ; Yurena Caballero Diaz ; Eudaldo Ló ; pez-Tomassetti Fern&#225 ; ndez ; Mariela Braithwaite ; Valentí ; n Nú ; ñ ; ez Jorge
• 关键词：Esofagostomí ; a ; Coloplastia ; Gastroplastia ; Calidad de vida
• 刊名：Cirug篓陋a Espa?ola
• 出版年：2012
• 期刊代码：pca87_0009739X
• 类别：med
• 出版时间：June-July, 2012
• 卷：90
• 期：6
• 页码：363-368
• 文件大小：320 K

Objectives

To assess morbidity, mortality and quality of life after oesophageal reconstruction in patients with oesophageal exclusion for benign diseases.

Patients and 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 卤 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 卤 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.