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  • Electronic Resource  (2)
  • 1980-1984  (2)
  • carcinoma of the cardia  (1)
  • fundic patch operation  (1)
  • 1
    ISSN: 1436-2813
    Keywords: sliding hiatal hernia ; peptic stricture of the esophagus ; reflux esophagitis ; fundic patch operation ; esophagogastroplasty
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Eighteen patients ranging in age from 32–82 years with benign distal esophageal stricture underwent and survived fundic patch operation. Twelve of these patients had undergone esophageal dilatation but without success. Five had had surgery for hiatal hernia using Hill, Belsey or Lortat-Jacob techniques. Middle laparotomy was done in five and left thoracotomy in thirteen. A fundic patch with a 270° fundoplication was performed in seven an a fundic patch with 360° fundoplication in the remaining eleven. The average hospital stay was 12.3 days. Dysphagia disappeared in seventeen and persisted for eight months in one patient. Three patients required instrumental dilatation for a few months. Endoscopic examination, pH study and X-ray fluoroscopy were done. Gastroesphageal reflux was nil in patients treated with Nissen's 360° fundoplication and three of these 7 patients without Nissen's fundoplication had gastroesophageal reflux. Epithelization of the patched esophageal wound was evident 6 months after the operation.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1436-2813
    Keywords: carcinoma of the cardia ; esophagogastrectomy ; isoperistaltic transverse colon interposition
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract With the object of designing a feasible and more radical surgical intervention for the treatment of carcinoma of the gastric cardia and improving the long term survival of these patients, a procedure was described which entails total esophagogastrectomy and resection of the distal pancreas, spleen and regional lymphnodes. The esophagus was mobilizedvia the diaphragmatic hiatus without thoracotomy. Intestinal continuity, installed isoperistaltically was restituted in the same operation using a segment of transverse and descending colon transferred to the left lateral cervial aspect by way of the posterior mediastinum. The procedure was used in four patients and mortality and serious complications were nil.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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