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Reversing Esophageal Discontinuity

Catastrophic esophageal or gastric disruption drive the decision to “disconnect” the esophagus to prevent ongoing mediastinal soilage. The operations used to establish esophageal discontinuity are not standardized and vary widely, the surgeon often focusing on saving the patient’s life, not on how a...

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Published in:	Seminars in thoracic and cardiovascular surgery 2007, Vol.19 (1), p.47-55
Main Author:	Orringer, Mark B., MD
Format:	Article
Language:	English
Subjects:	Anastomosis, Surgical - methods Cardiothoracic Surgery Colon - injuries Colon - surgery Critical Care Decision Making Digestive System Surgical Procedures - methods esophageal discontinuity Esophageal Diseases - etiology Esophageal Diseases - surgery esophageal surgery Esophagectomy - adverse effects Esophagostomy - adverse effects Esophagus - injuries Esophagus - surgery Humans Mediastinitis - etiology Perioperative Care Postoperative Complications Stomach - injuries Stomach - surgery Treatment Outcome
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description	Catastrophic esophageal or gastric disruption drive the decision to “disconnect” the esophagus to prevent ongoing mediastinal soilage. The operations used to establish esophageal discontinuity are not standardized and vary widely, the surgeon often focusing on saving the patient’s life, not on how alimentary continuity will ultimately be restored. Patients who survive the initial disastrous infectious complications are typically desperate to have further surgery to allow them to eat again. Relatively little is written about the decisions involved in reversing esophageal discontinuity—the timing of the operation, preoperative assessment and preparation, planning and conduct of the operation, and outcome. The nuances of reestablishing alimentary continuity in this disparate patient population are the focus of this article.
doi_str_mv	10.1053/j.semtcvs.2006.11.004
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source	ScienceDirect Freedom Collection 2022-2024
subjects	Anastomosis, Surgical - methods Cardiothoracic Surgery Colon - injuries Colon - surgery Critical Care Decision Making Digestive System Surgical Procedures - methods esophageal discontinuity Esophageal Diseases - etiology Esophageal Diseases - surgery esophageal surgery Esophagectomy - adverse effects Esophagostomy - adverse effects Esophagus - injuries Esophagus - surgery Humans Mediastinitis - etiology Perioperative Care Postoperative Complications Stomach - injuries Stomach - surgery Treatment Outcome
title	Reversing Esophageal Discontinuity
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