切除不能한 胃食道癌에 대한 Bypass 手術 4例
Bypass for Esophageal Stenesis due to Gastro-esophageal Carcinoma
鄭永煥, 金近鎬,
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鄭永煥 ( )
전남대학교 의과대학 흉부외과학교실
金近鎬 ( )
전남대학교 의과대학 흉부외과학교실
KMID : 0364019710040010035
Abstract
This is a report on four cases of bypass for esophageal stricture due to gastro-esophageal carcinoma in the Department of Thoracic Surgery, Chonnam University Hospital.
Bypass was performed intrathoracal esophago-jejunostomy by a segment of jejunum. Three patients received end to end anastomosis and the other one side to end esophagojejunostomy.
Postoperative results were as follow; There was no swallowing disturbance with regular diet and the patients appear to be more comfortable by bypass than gastrostomy or jejunostomy.
Postoperative condition of all the patients was satisfactory because other organs were intact. However, two patients expired in 12 months and 6 months after operation by wide metastasis and the other 2 cases are living now with regular diet in 4 months and 2 months after operation.
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