Is neck or chest anastomosis preferable during esophageal resection?

Flexing the neck relieves tension on cervical esophageal anastomosis.

BACKGROUND The conventional method of bridging anatomic defects of the upper digestive tract in the neck is by tissue transfer--either gastric or colon pull-through, free jejunal graft, or full-thickness skin flaps. An alternative way of closing such defects is to flex the neck. This moves the remnant proximal esophagus or pharynx a considerable distance downwards--a standard tension-releasing ...

Agonist or Antagonists? What Is Preferable?

Esophageal perforation during or after conformal radiotherapy for esophageal carcinoma

The aim of this study was to analyze the risk factors and prognosis for patients with esophageal perforation occurring during or after radiotherapy for esophageal carcinoma. We retrospectively analyzed 322 patients with esophageal carcinoma. These patients received radiotherapy for unresectable esophageal tumors, residual tumors after operation, or local recurrence. Of these, 12 had radiotherap...

End-to-end versus End-to-side Anastomosis in the Treatment of Esophageal Atresia or Tracheo-esophageal Fistula

BACKGROUND Dehiscence of esophageal anastomosis is frequent and there are still controversies which type of anastomosis is preferred to diminish its incidence . AIM To compare end-to-end anastomosis versus end-to-side anastomosis in terms of anastomotic leakage, esophageal stricture and gastroesophageal reflux symptom. METHODS This study was carried out for two year starting from 2012. End-...

Histopathological evaluation is still useful after bladder neck resection

The idea behind this paper [1] is novel and daring. Firstly, there are no previous papers looking into the actual necessity of pathological examination after removing a part of the urinary tract. And secondly, there are many possible implications after changing something that is widely considered as elementary and routine. The conclusion that might be drawn from this paper is that if you are on...