PERIOPERATIVE AND COMPLICATION MANAGEMENT FOR ADENOCARCINOMA OF THE ESOPHAGUS AND ESOPHAGOGASTRIC JUNCTION
Esophagectomy remains a challenging procedure both for the patient and the surgeon. Patient selection and evaluation aims at preventing individuals unfit for surgery or without chance of cure from this operation. The use of modern operative techniques and in some cases sequential strategies help red...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
State Budget Educational Institute of Higher Professional Education, Rostov State Medical University, Ministry Health of Russian Federation
2014-12-01
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| Series: | Медицинский вестник Юга России |
| Subjects: | |
| Online Access: | https://www.medicalherald.ru/jour/article/view/23 |
| _version_ | 1811179488888750080 |
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| author | K. Tobias E. Beckurts |
| author_facet | K. Tobias E. Beckurts |
| author_sort | K. Tobias |
| collection | DOAJ |
| description | Esophagectomy remains a challenging procedure both for the patient and the surgeon. Patient selection and evaluation aims at preventing individuals unfit for surgery or without chance of cure from this operation. The use of modern operative techniques and in some cases sequential strategies help reduce the operative trauma. Regional anesthaesia and an individualized concept of perioperative pain treatment, early extubation, fluid restriction, mobilisation and physiotherapeutic assistance aims at the prevention of pulmonary complications, one of the dominant threats to this patient population. Rapid recognition and aggressive diagnostic work-up of any complication, especially anastomotic leaks, in the post-operative period is essential to prevent an uncontrolled progression of pathophysiologic cascades. A close multidisciplinary cooperation of surgeons, anaesthetists, endoscopists, radiologists and other associated disciplines is essential to further reduce the perioperative morbidity and mortality in this demanding surgical procedure. |
| first_indexed | 2024-04-11T06:35:08Z |
| format | Article |
| id | doaj.art-a900a93ecb1241edbbda61437727f994 |
| institution | Directory Open Access Journal |
| issn | 2219-8075 2618-7876 |
| language | English |
| last_indexed | 2024-04-11T06:35:08Z |
| publishDate | 2014-12-01 |
| publisher | State Budget Educational Institute of Higher Professional Education, Rostov State Medical University, Ministry Health of Russian Federation |
| record_format | Article |
| series | Медицинский вестник Юга России |
| spelling | doaj.art-a900a93ecb1241edbbda61437727f9942022-12-22T04:39:50ZengState Budget Educational Institute of Higher Professional Education, Rostov State Medical University, Ministry Health of Russian FederationМедицинский вестник Юга России2219-80752618-78762014-12-010451110.21886/2219-8075-2014-4-5-1122PERIOPERATIVE AND COMPLICATION MANAGEMENT FOR ADENOCARCINOMA OF THE ESOPHAGUS AND ESOPHAGOGASTRIC JUNCTIONK. Tobias0E. Beckurts1Department for General, Visceral and Trauma Surgery, Krankenhaus der Augustinerinnen Academic Teaching Hospital, University of CologneDepartment for General, Visceral and Trauma Surgery, Krankenhaus der Augustinerinnen Academic Teaching Hospital, University of CologneEsophagectomy remains a challenging procedure both for the patient and the surgeon. Patient selection and evaluation aims at preventing individuals unfit for surgery or without chance of cure from this operation. The use of modern operative techniques and in some cases sequential strategies help reduce the operative trauma. Regional anesthaesia and an individualized concept of perioperative pain treatment, early extubation, fluid restriction, mobilisation and physiotherapeutic assistance aims at the prevention of pulmonary complications, one of the dominant threats to this patient population. Rapid recognition and aggressive diagnostic work-up of any complication, especially anastomotic leaks, in the post-operative period is essential to prevent an uncontrolled progression of pathophysiologic cascades. A close multidisciplinary cooperation of surgeons, anaesthetists, endoscopists, radiologists and other associated disciplines is essential to further reduce the perioperative morbidity and mortality in this demanding surgical procedure.https://www.medicalherald.ru/jour/article/view/23esophagusadenocarcinomasurgerycomplicationlungs |
| spellingShingle | K. Tobias E. Beckurts PERIOPERATIVE AND COMPLICATION MANAGEMENT FOR ADENOCARCINOMA OF THE ESOPHAGUS AND ESOPHAGOGASTRIC JUNCTION Медицинский вестник Юга России esophagus adenocarcinoma surgery complication lungs |
| title | PERIOPERATIVE AND COMPLICATION MANAGEMENT FOR ADENOCARCINOMA OF THE ESOPHAGUS AND ESOPHAGOGASTRIC JUNCTION |
| title_full | PERIOPERATIVE AND COMPLICATION MANAGEMENT FOR ADENOCARCINOMA OF THE ESOPHAGUS AND ESOPHAGOGASTRIC JUNCTION |
| title_fullStr | PERIOPERATIVE AND COMPLICATION MANAGEMENT FOR ADENOCARCINOMA OF THE ESOPHAGUS AND ESOPHAGOGASTRIC JUNCTION |
| title_full_unstemmed | PERIOPERATIVE AND COMPLICATION MANAGEMENT FOR ADENOCARCINOMA OF THE ESOPHAGUS AND ESOPHAGOGASTRIC JUNCTION |
| title_short | PERIOPERATIVE AND COMPLICATION MANAGEMENT FOR ADENOCARCINOMA OF THE ESOPHAGUS AND ESOPHAGOGASTRIC JUNCTION |
| title_sort | perioperative and complication management for adenocarcinoma of the esophagus and esophagogastric junction |
| topic | esophagus adenocarcinoma surgery complication lungs |
| url | https://www.medicalherald.ru/jour/article/view/23 |
| work_keys_str_mv | AT ktobias perioperativeandcomplicationmanagementforadenocarcinomaoftheesophagusandesophagogastricjunction AT ebeckurts perioperativeandcomplicationmanagementforadenocarcinomaoftheesophagusandesophagogastricjunction |