Modified Nissen fundoplication combined with Ivor Lewis esophagogastrectomy.
case_series · Level IV
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- Record sourced from PubMed, PMID 17954120.
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Abstract
Esophageal carcinoma is a difficult neoplasm to treat, with a reported overall 5-year survival of about 15%. The role of chemotherapy and radiation has yet to be defined, making surgical resection the standard treatment. Postoperative esophageal leak remains a significant contributor to morbidity and mortality, especially after an intrathoracic anastomosis. We propose a modification of the Ivor Lewis esophagogastrectomy that has resulted in two anastomotic leaks in a series of more than 500 patients.
Medical subject headings
- Esophageal Neoplasms
- Esophagectomy
- Fundoplication
- Gastrectomy