Reconstrucción con interposición gástrica en el cáncer de hipofaringe y esófago cervical

Llorente, José Luís; Llames, A. López; Nieto, Carlos Suárez; González, Juan José; Guijosa, F Navarrete; Prado, N. Rodríguez

doi:10.1016/s0001-6519(06)78700-3

Cited by 7 publications

(2 citation statements)

References 11 publications

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“…In our patients, there were no surgery-related postoperative deaths, in contrast to another report [19]. Although hypopharyngeal and cervical esophageal cancers have poor prognoses, especially in advanced cases, our patients had an acceptable 5-year survival rate; overall and progression-free survival rates were 27.6 and 21.8%, respectively.…”

Section: Discussioncontrasting

confidence: 54%

Reconstruction of Hypopharyngeal and Esophageal Defects Using a Gastric Tube after Total Esophagectomy and Pharyngolaryngectomy

Liu

Deng²,

Li³

et al. 2016

ORL

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Aim: This study investigated the value of gastric tube during surgery for advanced hypopharyngeal and cervical esophageal cancer. Method: From November 2007 to December 2012, 42 patients underwent total pharyngo-laryngo-esophagectomy because of advanced hypopharyngeal or cervical esophageal cancer and were reconstructed with a gastric tube. Clinical swallowing function, morbidity, overall survival, and progression-free survival were evaluated postoperatively. Result: There were no severe complications, including no gastric necrosis, surgery-related postoperative morbidity, hemothorax, thoracostomach, or severe reflux esophagitis. Anastomotic leakage occurred in 2 cases, and these patients healed spontaneously with conservative management. Pulmonary infection developed in 5 patients. Anastomotic stenosis occurred in 2 cases and was managed with endoscopic dilatation. Regurgitation during the night was observed in 5 cases and was controlled by medication. All the patients regained their swallowing ability and thereby increased their quality of life. All patients were followed for 30-60 months; 2 of them were lost 6 months after surgery. The 3-year overall and progression-free survival rates were 58.1 and 56.2% respectively, and the 5-year overall and progression-free survival rates were 27.6 and 21.8%, respectively. Conclusion: Reconstruction by gastric tube is a dependable one-stage procedure that restores gastrointestinal continuity after total pharyngo-laryngo-esophagectomy.

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Section: Discussioncontrasting

confidence: 54%

Reconstruction of Hypopharyngeal and Esophageal Defects Using a Gastric Tube after Total Esophagectomy and Pharyngolaryngectomy

Liu

Deng²,

Li³

et al. 2016

ORL

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“…Mortality rate was reported in 41 studies of 1469 patients. Mortality rate varied from 0 % [ 4 – 13 ] to 33 % [ 14 ] with a weighted average of 8.6 % (129 patients). Complications of GPU reconstruction related to pharyngogastric anastomosis were relatively common and varied greatly between the studies.…”

Section: Literature Reviewmentioning

confidence: 99%

Management algorithm for failed gastric pull up reconstruction of laryngopharyngectomy defects: Case report and review of the literature

Butskiy

Anderson

Prisman

2016

Journal of Otolaryngology - Head & Neck Surgery

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BackgroundGastric pull up remains a popular reconstructive option for pharyngoesophagectomy defects extending to thoracic inlet. Gastric necrosis is a dreaded complication of gastric pull up reconstruction and few studies report on management of this complication.MEDLINE, EMBASE, and Web of Science™ databases were searched for publications in the last 25 years on gastric pull up reconstruction following pharyngoesophagectomy. The rates of complications related to gastropharyngeal anastomosis were extracted, and methods of managing gastric necrosis were noted.Forty seven case series were identified reporting on the use of gastric pull up for reconstruction of pharyngoesophageal defects. Mortality rate varied from 0 to 33 % with a weighted average of 8.6 %. In 39 % of patients, mortality was either caused or directly related to failure of the gastropharyngeal anastomosis. The reported rate of gastric necrosis ranged from 0 to 24 % resulting in a 28 % mortality. Options for managing gastric necrosis included: temporary cervical diversion, free jejunum flap, colonic interposition, tubed radial forearm flap, deltopectoralis and pectoralis myocutaneous flaps.Case presentationWe present the first case of an anterolateral thigh flap rescue of gastric necrosis after gastric pull up reconstruction. The case report is followed by a review of literature on management of gastric pull up failures.ConclusionBased on the extracted information, we propose an algorithm for managing gastric pull up failure following pharyngoesophageal reconstruction.

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Revisiting the gastric pull‐up for pharyngoesophageal reconstruction: A systematic review and meta‐analysis of mortality and morbidity

Butskiy

Rahmanian

White

et al. 2016

Journal of Surgical Oncology

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Gastric pull-up (GPU) is among the oldest techniques for reconstructing the pharyngoesophageal junction following cancer resection. This review examines morbidity and mortality rates following GPU pharyngoesophageal junction reconstruction from 1959 until present: 77 studies, 2,705 patients. The odds of mortality, anastomotic complications, and other complications decreased by 37.2% (95%CI = 28.0-45.3%; P < 0.0001), 8.0% (95%CI = -2.1 to 17.1%; P = 0.12), 21.0% (95%CI 3.5-35.2%; P = 0.021) per decade respectively. J. Surg. Oncol. 2016;114:907-914. © 2016 Wiley Periodicals, Inc.

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Reconstrucción con interposición gástrica en el cáncer de hipofaringe y esófago cervical

Cited by 7 publications

References 11 publications

Reconstruction of Hypopharyngeal and Esophageal Defects Using a Gastric Tube after Total Esophagectomy and Pharyngolaryngectomy

Reconstruction of Hypopharyngeal and Esophageal Defects Using a Gastric Tube after Total Esophagectomy and Pharyngolaryngectomy

Management algorithm for failed gastric pull up reconstruction of laryngopharyngectomy defects: Case report and review of the literature

Revisiting the gastric pull‐up for pharyngoesophageal reconstruction: A systematic review and meta‐analysis of mortality and morbidity

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