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KMID : 0364019900230050922
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Korean Journal of Thoracic and Cardiovascular Surgery
1990 Volume.23 No. 5 p.922 ~ p.928
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Concer of the Esophagus and Cardia(Ⅲ)
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이강식/Lee, K.S.
유환국/안욱수/허용/김병열/이정호/유회성/Yu, H.K./Ahn, W.S./Hur, Y./Kim, B.Y./Lee, J.H./Yu, H.S.
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Abstract
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Treatment of patient with esophageal carcinoma remains disappointing. Fewer tha 20% of patients with esophageal carcinoma treated with curative intert by surgery and radiation therapy sill be alive at 5 yeares.
Fifty five patients underwent treatment for carcinoma of the esophagus and cardia which retrospective clinical study done between January 1983, and December, 1989 in Department of Thoracic and Cardiovadcular Surgery, National Medical Center, Seoul, Korea.
There were 48 men. 7 women and the mean age was 56.2 years(range, 38 to 78 years). The mostrrequent preoperative findings included dysphagia(46 cases),´ weight loss(33 cases) and substernal pain(19 cases).
19 cases(34.5%) were underwent resectional surgery, which which was total esophagectomy with esophagogastrostomy( 5 cases), with colon interpositon(3 cases), lower esophagectomy with esophagogastrostomy (10 cases), with total gastrectomy and esophagojejunostomy(1 case).
The operative mortality was 15.8%(3 /19) and causes of death were respiratory failure in 2 cases, and 1 case of sepsis.
Palliative procedures, such as feeding gastrostony and jejunostomy(14 dases), bypass surgery without resection( 4 cases), radiaition therapy( 3 cases) were done.
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