Surgical treatment of XXXX .

@entity1 @entity5 @entity189
Seven hundred and seventy-two @entity1 suffering from @entity189 and upper stomach were seen by two surgeons at the Manchester Regional Cardiothoracic Centre over a 15-year period. Five hundred and thirty-one @entity1 had an operation, and of these, 449 had a resection. Throughout the period under review, the policy was to resect the primary @entity5 whenever possible. No emphasis was placed on extensive preoperative parenteral feeding. Adequate rather than radical resection was the aim of the surgery, but even if a curative operation was not possible, the primary was removed if at all possible. Gastric drainage in the immediate postoperative period by nasogastric tube or pyloroplasty was never used. A new classification of high or low @entity5 according to the level seen at oesophagoscopy is suggested; in 30 cases designated as "high", a planned resection was carried out using a bilateral thoracotomy, a method not previously described. The overall operative mortality was 9.2%. Of those having a resection it was 7.6%, and there were only three deaths in the last 120 resections. The predicted actuarial survival in this series of resections was 18% at five years and 12% at 10 years.
