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  • Title: Mortality and morbidity after esophagogastrectomy for cancer of the esophagus and cardia.
    Author: Conti S, West JP, Fitzpatrick HF.
    Journal: Am Surg; 1977 Feb; 43(2):92-6. PubMed ID: 835905.
    Abstract:
    Forty-eight esophagastric resections performed for cancer of the esophagus and cardia resulted in a five-year survival rate of four per cent. An operative mortality rate of 23%, comparable to that reported by others, diminishes the value of esophagogastrectomy even for palliation. Nutritional depletion, commonly found in these patients, contributes significantly to the unacceptably high mortality. A review of the recent literature indicates that the routine use of preoperative hyperalimentation and prophylactic antibiotics can significantly reduce morbidity in these high-risk patients and thereby result in better palliation.
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