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- Publisher
- Springer Journals
- Copyright
- Copyright © 2015 by Springer-Verlag Berlin Heidelberg
- Subject
- Medicine & Public Health; Surgery; Cardiac Surgery; Pediatric Surgery; Plastic Surgery; Traumatic Surgery; Vascular Surgery
- ISSN
- 0009-4722
- eISSN
- 1433-0385
- DOI
- 10.1007/s00104-015-0086-9
- pmid
- 26400723
- Publisher site
- See Article on Publisher Site
Abstract
Die Ösophagusresektion stellt einen einschneidenden Eingriff in die Physiologie des oberen Gastrointestinaltraktes dar. In deren Folge können sich Mangelernährung, Dysphagie und Reflux ausbilden. Aus operationstechnischer Sicht ist die Rekonstruktion der Passage mit einem Magenhochzug, dessen Schlauch etwa 3 cm breit sein sollte, und einer Anastomose kranial der V. azygaos zu favorisieren. Tendenziell ist von einer Besserung der Symptome etwa sechs Monate postoperativ auszugehen. Neu auftretende Spätkomplikationen sind bei einer bekannten malignen Grunderkrankung des Ösophagus grundsätzlich verdächtig auf ein Lokalrezidiv, therapeutisch stehen endoskopische Verfahren beim Lokalrezidiv mit Stenosesymptomatik oder Fistelung im Vordergrund.
Journal
Der Chirurg – Springer Journals
Published: Sep 23, 2015