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KMID : 0364019960290101123
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Korean Journal of Thoracic and Cardiovascular Surgery
1996 Volume.29 No. 10 p.1123 ~ p.1128
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Surgical Treatment and Analysis of Esophageal Diseases
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Abstract
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A clinical study was performed on 152 cases of surgical esophageal disease treated by the Department of Thoracic & Cardiovascular Surgery of Korea University Hospital from Jan. 1989 through July 1994.
The most common esophageal disease was cancer which was seen in 73 cases(48%) among 152 cases. All were treated surgically:52 patients(71%) were managed by curative or palliative resection with reconstruction and feeding gastrostomy or
jejunostomy,
otherwise Celestine tube insertion was performed on the remaining 21 patients for palliation.
Esophageal leiomyoma occurred in 6 cases(3.9%). Among them l case was performed with thoracoscopic enucleation.
Achalasia were in 7 cases(4.6%) and was treated with modified Heller's myotomy and with Belsey Mark IV operation. Diverticulum were in ll cases(7.2%).
Esophageal stricture occurred in 20 cases (14.1%) and 17 of 20 cases were managed with bypass surgery.
Esophageal perforation was seen in 20 cases, its cause was instrumental trauma in 7 cases, stab wound in 4 cases, foreign body in 4 cases, spontaneous perforation in 3 cases, and others l case.
Other disease including congenital lesion was seen in 15cases.
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