Early Postoperative Complications of Thoracic Esophageal Diverticula: A Review of 10 Cases from "Saint Mary" Hospital, Bucharest, Romania
Thoracic esophageal diverticulum is a rare pathology frequently associated with esophageal motility disorders. Surgery is the only option in patients with severe symptoms. This is a retrospective case series study of 10 patients who underwent diverticulectomy for thoracic (epiphrenic or mid-esophage...
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| Veröffentlicht in: | Chirurgia (Bucharest, Romania : 1990) Romania : 1990), 2018-01, Vol.113 (1), p.144-155 |
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| container_title | Chirurgia (Bucharest, Romania : 1990) |
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| creator | Gîndea, Cristina Constantin, Adrian Hoară, Petre Cărăgui, Andrei AlKadour, Abdullah Constantinoiu, Silviu |
| description | Thoracic esophageal diverticulum is a rare pathology frequently associated with esophageal motility disorders. Surgery is the only option in patients with severe symptoms.
This is a retrospective case series study of 10 patients who underwent diverticulectomy for thoracic (epiphrenic or mid-esophageal) diverticula. It was recorded: main preoperative symptoms, usual blood tests, barium swallow, upper endoscopy and esophageal manometry. We analyzed the postoperative complications, length of stay in hospital and intensive care unit.
Most patients presented with regurgitation and/or dysphagia. The surgical approach was through left thoracotomy or abdominal for epiphrenic diverticula and through right thoracotomy or thoracoscopy for mid-esophageal diverticula. 4 patients had severe complications: 3 had major leaks (one death) and one had chylothorax.
Surgery for thoracic diverticula is associated with high mortality and morbidity rates. Leak from the suture line is the most common complication, unlike chylothorax which is a rare complication.
Thoracic diverticula represent a benign pathology which can have "malignant" postoperative complications. A thorough preoperative work-up is mandatory for choosing the appropriate surgical technique. Use of multiple cartridges for stapling suture increase the risk of leakage, but oversewing the suture may diminish it. |
| doi_str_mv | 10.21614/chirurgia.113.1.144 |
| format | Article |
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This is a retrospective case series study of 10 patients who underwent diverticulectomy for thoracic (epiphrenic or mid-esophageal) diverticula. It was recorded: main preoperative symptoms, usual blood tests, barium swallow, upper endoscopy and esophageal manometry. We analyzed the postoperative complications, length of stay in hospital and intensive care unit.
Most patients presented with regurgitation and/or dysphagia. The surgical approach was through left thoracotomy or abdominal for epiphrenic diverticula and through right thoracotomy or thoracoscopy for mid-esophageal diverticula. 4 patients had severe complications: 3 had major leaks (one death) and one had chylothorax.
Surgery for thoracic diverticula is associated with high mortality and morbidity rates. Leak from the suture line is the most common complication, unlike chylothorax which is a rare complication.
Thoracic diverticula represent a benign pathology which can have "malignant" postoperative complications. A thorough preoperative work-up is mandatory for choosing the appropriate surgical technique. Use of multiple cartridges for stapling suture increase the risk of leakage, but oversewing the suture may diminish it.</description><identifier>ISSN: 1221-9118</identifier><identifier>DOI: 10.21614/chirurgia.113.1.144</identifier><identifier>PMID: 29509541</identifier><language>eng</language><publisher>Romania</publisher><subject>Aged ; Anastomotic Leak - etiology ; Chylothorax - etiology ; Deglutition Disorders - etiology ; Diverticulum, Esophageal - complications ; Diverticulum, Esophageal - mortality ; Diverticulum, Esophageal - surgery ; Esophagectomy - adverse effects ; Esophagectomy - methods ; Esophagectomy - mortality ; Female ; Hospitals, University ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Risk Factors ; Romania ; Thoracoscopy - adverse effects ; Treatment Outcome</subject><ispartof>Chirurgia (Bucharest, Romania : 1990), 2018-01, Vol.113 (1), p.144-155</ispartof><rights>Celsius.</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-9482e77c0244198d128199e4e583b90de1df500bf0bda019b30ac506a5ee7a7b3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29509541$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gîndea, Cristina</creatorcontrib><creatorcontrib>Constantin, Adrian</creatorcontrib><creatorcontrib>Hoară, Petre</creatorcontrib><creatorcontrib>Cărăgui, Andrei</creatorcontrib><creatorcontrib>AlKadour, Abdullah</creatorcontrib><creatorcontrib>Constantinoiu, Silviu</creatorcontrib><title>Early Postoperative Complications of Thoracic Esophageal Diverticula: A Review of 10 Cases from "Saint Mary" Hospital, Bucharest, Romania</title><title>Chirurgia (Bucharest, Romania : 1990)</title><addtitle>Chirurgia (Bucur)</addtitle><description>Thoracic esophageal diverticulum is a rare pathology frequently associated with esophageal motility disorders. Surgery is the only option in patients with severe symptoms.
This is a retrospective case series study of 10 patients who underwent diverticulectomy for thoracic (epiphrenic or mid-esophageal) diverticula. It was recorded: main preoperative symptoms, usual blood tests, barium swallow, upper endoscopy and esophageal manometry. We analyzed the postoperative complications, length of stay in hospital and intensive care unit.
Most patients presented with regurgitation and/or dysphagia. The surgical approach was through left thoracotomy or abdominal for epiphrenic diverticula and through right thoracotomy or thoracoscopy for mid-esophageal diverticula. 4 patients had severe complications: 3 had major leaks (one death) and one had chylothorax.
Surgery for thoracic diverticula is associated with high mortality and morbidity rates. Leak from the suture line is the most common complication, unlike chylothorax which is a rare complication.
Thoracic diverticula represent a benign pathology which can have "malignant" postoperative complications. A thorough preoperative work-up is mandatory for choosing the appropriate surgical technique. Use of multiple cartridges for stapling suture increase the risk of leakage, but oversewing the suture may diminish it.</description><subject>Aged</subject><subject>Anastomotic Leak - etiology</subject><subject>Chylothorax - etiology</subject><subject>Deglutition Disorders - etiology</subject><subject>Diverticulum, Esophageal - complications</subject><subject>Diverticulum, Esophageal - mortality</subject><subject>Diverticulum, Esophageal - surgery</subject><subject>Esophagectomy - adverse effects</subject><subject>Esophagectomy - methods</subject><subject>Esophagectomy - mortality</subject><subject>Female</subject><subject>Hospitals, University</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Romania</subject><subject>Thoracoscopy - adverse effects</subject><subject>Treatment Outcome</subject><issn>1221-9118</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE1v1DAQhn0AtVXpP0DI6olDd5mxnU3CrWyXFqkVqJSzNXEmXaNkHeykqD-Bf13TL19Glp53Ph4h3iMsFa7QfHJbH-d462mJqJe4RGPeiANUChc1YrUvjlL6DfmtQAHoPbGv6gLqwuCB-Leh2N_LHyFNYeRIk79juQ7D2HuXP2GXZOjkzTZEct7JTQrjlm6ZenmWyTh5N_f0WZ7Ka77z_Pc_jCDXlDjJLoZBHv8kv5vkFcX7Y3kR0ugn6k_kl9ltKXKaTuR1GGjn6Z1421Gf-Oi5HopfXzc364vF5ffzb-vTy4XThZ4WtakUl6UDZQzWVYuqwrpmw0WlmxpaxrYrAJoOmpYA60YDuQJWVDCXVDb6UHx86jvG8GfOG9jBJ8d9TzsOc7IKMFtFDWVGzRPqYkgpcmfH6Id8iUWwj-7tq3ubIxZtdp9jH54nzM3A7Wvoxbp-AKWDhGY</recordid><startdate>201801</startdate><enddate>201801</enddate><creator>Gîndea, Cristina</creator><creator>Constantin, Adrian</creator><creator>Hoară, Petre</creator><creator>Cărăgui, Andrei</creator><creator>AlKadour, Abdullah</creator><creator>Constantinoiu, Silviu</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201801</creationdate><title>Early Postoperative Complications of Thoracic Esophageal Diverticula: A Review of 10 Cases from "Saint Mary" Hospital, Bucharest, Romania</title><author>Gîndea, Cristina ; Constantin, Adrian ; Hoară, Petre ; Cărăgui, Andrei ; AlKadour, Abdullah ; Constantinoiu, Silviu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c353t-9482e77c0244198d128199e4e583b90de1df500bf0bda019b30ac506a5ee7a7b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Aged</topic><topic>Anastomotic Leak - etiology</topic><topic>Chylothorax - etiology</topic><topic>Deglutition Disorders - etiology</topic><topic>Diverticulum, Esophageal - complications</topic><topic>Diverticulum, Esophageal - mortality</topic><topic>Diverticulum, Esophageal - surgery</topic><topic>Esophagectomy - adverse effects</topic><topic>Esophagectomy - methods</topic><topic>Esophagectomy - mortality</topic><topic>Female</topic><topic>Hospitals, University</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Romania</topic><topic>Thoracoscopy - adverse effects</topic><topic>Treatment Outcome</topic><toplevel>online_resources</toplevel><creatorcontrib>Gîndea, Cristina</creatorcontrib><creatorcontrib>Constantin, Adrian</creatorcontrib><creatorcontrib>Hoară, Petre</creatorcontrib><creatorcontrib>Cărăgui, Andrei</creatorcontrib><creatorcontrib>AlKadour, Abdullah</creatorcontrib><creatorcontrib>Constantinoiu, Silviu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Chirurgia (Bucharest, Romania : 1990)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gîndea, Cristina</au><au>Constantin, Adrian</au><au>Hoară, Petre</au><au>Cărăgui, Andrei</au><au>AlKadour, Abdullah</au><au>Constantinoiu, Silviu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early Postoperative Complications of Thoracic Esophageal Diverticula: A Review of 10 Cases from "Saint Mary" Hospital, Bucharest, Romania</atitle><jtitle>Chirurgia (Bucharest, Romania : 1990)</jtitle><addtitle>Chirurgia (Bucur)</addtitle><date>2018-01</date><risdate>2018</risdate><volume>113</volume><issue>1</issue><spage>144</spage><epage>155</epage><pages>144-155</pages><issn>1221-9118</issn><abstract>Thoracic esophageal diverticulum is a rare pathology frequently associated with esophageal motility disorders. Surgery is the only option in patients with severe symptoms.
This is a retrospective case series study of 10 patients who underwent diverticulectomy for thoracic (epiphrenic or mid-esophageal) diverticula. It was recorded: main preoperative symptoms, usual blood tests, barium swallow, upper endoscopy and esophageal manometry. We analyzed the postoperative complications, length of stay in hospital and intensive care unit.
Most patients presented with regurgitation and/or dysphagia. The surgical approach was through left thoracotomy or abdominal for epiphrenic diverticula and through right thoracotomy or thoracoscopy for mid-esophageal diverticula. 4 patients had severe complications: 3 had major leaks (one death) and one had chylothorax.
Surgery for thoracic diverticula is associated with high mortality and morbidity rates. Leak from the suture line is the most common complication, unlike chylothorax which is a rare complication.
Thoracic diverticula represent a benign pathology which can have "malignant" postoperative complications. A thorough preoperative work-up is mandatory for choosing the appropriate surgical technique. Use of multiple cartridges for stapling suture increase the risk of leakage, but oversewing the suture may diminish it.</abstract><cop>Romania</cop><pmid>29509541</pmid><doi>10.21614/chirurgia.113.1.144</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Chirurgia (Bucharest, Romania : 1990), 2018-01, Vol.113 (1), p.144-155 |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Aged Anastomotic Leak - etiology Chylothorax - etiology Deglutition Disorders - etiology Diverticulum, Esophageal - complications Diverticulum, Esophageal - mortality Diverticulum, Esophageal - surgery Esophagectomy - adverse effects Esophagectomy - methods Esophagectomy - mortality Female Hospitals, University Humans Male Middle Aged Retrospective Studies Risk Factors Romania Thoracoscopy - adverse effects Treatment Outcome |
| title | Early Postoperative Complications of Thoracic Esophageal Diverticula: A Review of 10 Cases from "Saint Mary" Hospital, Bucharest, Romania |
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