Type of Surgery
Last updated: 02/17/2009
One of the primary risks associated with esophageal resection surgeries is leakage at the site of the anastomosis, where a new feeding tube was sutured (stitched) to the remaining esophagus. As many as 9% of all patients have been reported to develop...
leaks, most occurring when a portion of the stomach rather than the colon was used to construct the new section of the esophagus.
Other risks include:
- formation of blood clots that can travel to the heart, lungs, or brain
- nerve injury, which can cause defective emptying of the stomach
- breathing difficulties and pneumonia
- adverse reactions to anesthesia
- narrowing of the remaining esophagus (strictures), which may cause swallowing problems
- increased acid reflux and heartburn as a result of injury to or removal of the esophageal sphincter
An esophageal resection is the surgical removal of the esophagus, nearby lymph nodes, and sometimes a portion of the stomach. The esophagus is a hollow muscular tube that passes through the chest from the mouth to the stomachâ€”a "foodpipe" that carries food and liquids to the stomach for digestion and nutrition. Removal of the esophagus requires reconnecting the remaining part of the esophagus to the stomach to allow swallowing and the continuing passage of food. Part of the stomach or intestine may be used to make this connection. Several surgical techniques and approaches (ways to enter the body) are used, depending on how much or which part of the esophagus needs to be removed; whether or not part of the stomach will be removed; the patient's overall condition; and the surgeon's preference.
In 2006, estimates of the direct medical costs of allergic rhinitis in the US ranged from $1.16 billion to $4.5 billion, rising to $7.7 billion when indirect costs were included.
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