Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-23T15:49:27.474Z Has data issue: false hasContentIssue false
  • English
  • Français

Gastric pull-up by eversion stripping of oesophagus

Published online by Cambridge University Press:  29 June 2007

Ranjit Rajan ,
Rajamma Rajan ,
N. Rajan  and
U. Santhosh Pai
Ranjit Rajan*
Affiliation:
Departments of ENT, Kasturba Medical College Hospital, Manipal, India
Rajamma Rajan
Affiliation:
Departments of ENT, Kasturba Medical College Hospital, Manipal, India
N. Rajan
Affiliation:
Department of General Surgery, Kasturba Medical College Hospital, Manipal, India
U. Santhosh Pai
Affiliation:
Department of General Surgery, Kasturba Medical College Hospital, Manipal, India
*
Dr Rajamma Rajan, Department of ENT, Kasturba Medical College, Manipal – 576 119, India
Get access Rights & Permissions [Opens in a new window]

Abstract

Gastric pull-up is a reliable method of one-stage reconstruction following total laryngopharyngoesophagectomy (TLPE). However, the technique of blunt finger dissection for extrapleural extraction of the oesophagus is liable to produce chest complications like pneumothorax. We report a series of 45 patients who underwent gastric pull-up using the technique of oesophageal extraction by stripping which produced virtually no thoracic complications. This simple technique has greatly reduced morbidity associated with gastric pull-up.

Keywords

LaryngectomyPharyngectomyOesophagectomyGastric pull-up
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 107 , Issue 11 , November 1993 , pp. 1021 - 1024
Copyright
Copyright © JLO (1984) Limited 1993

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Akiyama, H., Hiyama, M., Miyazono, H. (1975) Total esophageal reconstruction after extraction of the esophagus. Annals of Surgery 182: 547–552.CrossRefGoogle ScholarPubMed
Atiyah, R., Shindo, M., Sisson, G. A. Sr. (1991) Mediastinal dissection and gastric pull-up. Otolaryngologic Clinics of North America 24 (6): 1287–1294.CrossRefGoogle ScholarPubMed
Bains, M. S., Spiro, R. H. (1979) Total extrathoracic esophagectomy and gastric transposition. Surgery, Gynecology and Obstetrics 149: 693–696.Google ScholarPubMed
Harrison, D. F. N. (1969) Surgical management of cancer of the hypopharynx and cervical oesophagus. British Journal of Surgery 56: 95–103.CrossRefGoogle ScholarPubMed
Harrison, D. F. N., Thompson, A. E., Buchanan, G. (1981) Radical resection for cancer of the hypopharynx and cervical oesophagus with repair by stomach transposition. British Journal of Surgery 68: 781–783.CrossRefGoogle ScholarPubMed
Lam, K. H., Ho, C. M., Lau, W. F., Wei, W. I., Wong, J. (1989) Immediate reconstruction of pharyngoesophageal defects – preference or reference. Archives of Otolaryngology—Head and Neck Surgery 115: 608–612.CrossRefGoogle ScholarPubMed
Le Quesne, L. P., Ranger, D. (1966) Pharyngolaryngectomy, with immediate pharyngogastric anastomosis. British Journal of Surgery 53: 105–109.CrossRefGoogle ScholarPubMed
Ong, G. B., Lee, T. C. (1960) Pharyngogastric, anastomosis after oesophago-pharyngectomy for carcinoma of the hypopharynx and cervical oesophagus. British Journal of Surgery 48: 193–200.CrossRefGoogle ScholarPubMed
Spiro, R. H., Shah, J. P., Strong, E. W., Gerald, F. P., Bains, M. S. (1983) Gastric transposition in head and neck surgery – indications, complications and expectations. American Journal of Surgery 146: 483–487.CrossRefGoogle ScholarPubMed