scholarly journals Gastric pull-up reconstruction combined with free jejunal transfer (FJT) following total pharyngolaryngo-oesophagectomy (PLE)

2015 ◽  
Vol 18 ◽  
pp. 95-98 ◽  
Author(s):  
Song Ni ◽  
Yiming Zhu ◽  
Dezhi Li ◽  
Zhengjiang Li ◽  
Yuehuang Wu ◽  
...  
2007 ◽  
Vol 58 (2) ◽  
pp. 182-185 ◽  
Author(s):  
Hirotaka Suga ◽  
Mutsumi Okazaki ◽  
Shunji Sarukawa ◽  
Akihiko Takushima ◽  
Hirotaka Asato

2009 ◽  
Vol 87 (2) ◽  
pp. 647-649 ◽  
Author(s):  
Yoshinori Hosoya ◽  
Shunji Sarukawa ◽  
Shiro Matsumoto ◽  
Toru Zuiki ◽  
Masanobu Hyodo ◽  
...  

Microsurgery ◽  
2006 ◽  
Vol 26 (1) ◽  
pp. 73-77 ◽  
Author(s):  
Gabor Pavlovics ◽  
Laszlo Cseke ◽  
Andras Papp ◽  
Gyorgy Tizedes ◽  
Bela A. Tabar ◽  
...  

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Raksha Kundal ◽  
Ranju Singh ◽  
Subhasis Roy Choudhury ◽  
Partap Singh Yadav ◽  
Ajai Kumar ◽  
...  

Abstract Background There is a paucity of literature on the anesthetic management of pediatric esophageal substitution using the stomach. We did a retrospective analysis of all such cases done at our institution. We analyzed the patient’s demography, indication, and type of surgery, co-morbid conditions, anesthesia techniques, duration of postoperative ventilation, hospital stay, complications, and mortality. The use of beta-blockers and their effect on the incidence of intraoperative and postoperative tachycardia in gastric pull-up patients was also analyzed. Results Thirty-four cases of gastric substitution of the esophagus in children were done over 19-year period; gastric pull-up was done in 28 patients and a gastric tube was made in 6 patients. General anesthesia was given to all; a thoracic epidural for pain was sited in 25 patients. Twenty-eight patients were ventilated postoperatively; the mean duration of ventilation is 54 h. Significant intraoperative tachycardia was observed in 85.7% of patients without beta-blocker as compared to 23.8% patients with beta-blocker (p = 0.004). Postoperatively, tachycardia was absent in patients receiving beta-blocker and present in 71.4% of patients not receiving beta-blockers (p < 0.001). Overall mortality was 8.8% but mortality due to cardiac arrhythmia was 42.9% in the patients not receiving beta-blockers (p = 0.001). Conclusions A thorough preoperative preparation, control of tachyarrhythmias, postoperative ventilation, and pain management is recommended for a favorable outcome. In addition, our paper supports the preoperative use of beta-blockers in reducing the incidence of fatal tachyarrhythmias associated with gastric pull-up surgery without any serious adverse effects. Level of evidence Level III


1996 ◽  
Vol 12 (01) ◽  
pp. 69-73 ◽  
Author(s):  
Eugene Alford

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