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  • Title: [Surgical treatment of severe cicatricial anastomotic stricture after esophagectomy for esophageal and cardiac cancer].
    Author: Wang GQ, Song JX, Jiao GG.
    Journal: Zhonghua Wai Ke Za Zhi; 2005 Jul 15; 43(14):905-8. PubMed ID: 16083618.
    Abstract:
    OBJECTIVE: To review the experience of the surgical procedure in the treatment of postoperative severe cicatricial anastomotic stricture for esophageal cancer and cardiac cancer. METHODS: Twenty-four cases with severe anastomotic strictures and dysphagia after esophagectomy underwent second operation. The anastomosis was opened by two small transverse incisions about 1-2 mm above and below the anastomotic line. The esophageal and gastric walls were half opened. Then the circular cicatricial tissue was partially removed. The re-anastomosis was performed with a one layer, intermittent technique. RESULTS: The second operations were successfully completed in 24 cases, cervical anastomotic leakage happened in 1 case and no operative mortality. All cases were followed up for 2-3 years. All patients can eat soft and common diet smoothly. No anastomotic strictures were found and the quality of life was significantly improved. CONCLUSION: The second surgery with partial removal of the narrow cicatricial ring and reanastomosis for postoperative severe anastomotic stricture after esophagectomy is feasible, and the result is satisfactory.
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