[Coloplasty after esophagectomy in XXXX . A retrospective study of morbidity and mortality].

@entity1 @entity295 @entity5 @entity418
Aim of this study has been to evaluate retrospectively morbidity and mortality of 42 colon substitutions after resection for @entity418 . Colon substitution was the intervention of first choice in six @entity1 . In the other @entity1 the stomach was useless, because of previous gastric surgery (n = 14), of gastric involvement by the @entity5 (n = 21) or technical problem (n = 1). @entity1 have been separated in 2 groups: from 1969 to 1983 (group A, n = 22), and from 1983 to 1997 (group B, n = 20). Mortality and morbidity (all eventful postoperative course) have been collected for the 30 postoperative days. Total morbidity has been 57% as 77% in group A and 35% in group B (p < 0.05). Cervical and colo-colic leak have been the most common complications. Total mortality has been 14% as 22% in group A and 5% in group B (p < 0.1). In group A 3 @entity1 died from anastomosis leak (intrathoracic or intraabdominal) and 2 from medical complications. In group B 1 @entity1 died from unexplained @entity295 . Our results show significative decrease of morbidity and mortality in group B. These results can be compared to those of gastroplasty for @entity5 or coloplasty for benign disease. In @entity5 , if stomach can not be used as substitutes, colon substitution is the best alternative, which can be used without increase of mortality and morbidity.
