- 作者：Juan Ramó ; n Herná ; ndez Herná ; ndez ; dretomassetti@gmail.com ; Yurena Caballero Diaz ; Eudaldo Ló ; pez-Tomassetti Ferná ; 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
ass="h4">Objectives
To assess morbidity, mortality and quality of life after oesophageal reconstruction in patients with oesophageal exclusion for benign diseases.
ass="h4">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.
ass="h4">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.
ass="h4">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.