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Gastric pull-up by eversion stripping of oesophagus

Published online by Cambridge University Press:  29 June 2007

Ranjit Rajan ,
Rajamma Rajan ,
N. Rajan  and
U. Santhosh Pai
Ranjit Rajan*
Affiliation:
Departments of ENT, Kasturba Medical College Hospital, Manipal, India
Rajamma Rajan
Affiliation:
Departments of ENT, Kasturba Medical College Hospital, Manipal, India
N. Rajan
Affiliation:
Department of General Surgery, Kasturba Medical College Hospital, Manipal, India
U. Santhosh Pai
Affiliation:
Department of General Surgery, Kasturba Medical College Hospital, Manipal, India
*
Dr Rajamma Rajan, Department of ENT, Kasturba Medical College, Manipal – 576 119, India
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Abstract

Gastric pull-up is a reliable method of one-stage reconstruction following total laryngopharyngoesophagectomy (TLPE). However, the technique of blunt finger dissection for extrapleural extraction of the oesophagus is liable to produce chest complications like pneumothorax. We report a series of 45 patients who underwent gastric pull-up using the technique of oesophageal extraction by stripping which produced virtually no thoracic complications. This simple technique has greatly reduced morbidity associated with gastric pull-up.

Keywords

LaryngectomyPharyngectomyOesophagectomyGastric pull-up
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 107 , Issue 11 , November 1993 , pp. 1021 - 1024
Copyright
Copyright © JLO (1984) Limited 1993

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