{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T16:41:25Z","timestamp":1785688885212,"version":"3.56.0"},"reference-count":18,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[1981,7,1]],"date-time":"1981-07-01T00:00:00Z","timestamp":362793600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[1981,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>During the last 14 years, pharyngogastric anastomosis following pharyngolaryngoesophagectomy was performed in 157 patients, among whom 67 had carcinoma of the hypopharynx, 7 had carcinoma of the cervical esophagus, and 83 had carcinoma of the larynx involving the hypopharynx. The operative procedure was that described previously by Ong in 1960, and modified in 1971. The overall hospital mortality was 31%, which in the last 2 years of the study had fallen to 18%. It was found that the mortality was higher in patients with poor cardiopulmonary status and in patients whose tumors had extended into the vallecula, thus requiring resection of the posterior third of the tongue. Previous failed radiotherapy increased the risk of leakage of the anastomosis. The immediate results of the operation can be improved if the surgeon ensures that a healthy stomach is prepared, a secure anastomosis is performed, and the vulnerable blood vessels are protected. Postoperative function in terms of swallowing ability was good, but rehabilitation of speech was poor. The 5\u2010year survival rate was 17.8%. The longest surviving patient is still alive 10 years after the original operation. The most common cause of long\u2010term failure was the development of metastatic disease. Improvement in survival results may require the use of adjuvant therapy to operative treatment<\/jats:bold>.<\/jats:p>","DOI":"10.1007\/bf01655003","type":"journal-article","created":{"date-parts":[[2005,5,9]],"date-time":"2005-05-09T09:16:17Z","timestamp":1115630177000},"page":"509-516","source":"Crossref","is-referenced-by-count":56,"title":["Pharyngogastric anastomosis following pharyngolaryngoesophagectomy. Analysis of 157 cases"],"prefix":"10.1002","volume":"5","author":[{"given":"K. H.","family":"Lam","sequence":"first","affiliation":[{"name":"Department of Surgery University of Hong Kong Queen Mary Hospital Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Hong Kong Queen Mary Hospital Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. T. K.","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Hong Kong Queen Mary Hospital Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G. B.","family":"Ong","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Hong Kong Queen Mary Hospital Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[1981,7]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.18004820823"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800530206"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.1968.tb03168.x"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800560204"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197006000-00002"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1970.00770040236012"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.1973.tb06823.x"},{"key":"e_1_2_1_9_1","first-page":"226","article-title":"Primary pharyngogastrostomy for carcinoma of the esophagus situated in the cervicothoracic segment","volume":"73","author":"Kakegawa T.","year":"1973","journal-title":"Surgery"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-197511000-00002"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(76)90313-5"},{"key":"e_1_2_1_12_1","first-page":"17","article-title":"Esophagectomy and esophageal replacement by gastric pull\u2010through procedure","volume":"64","author":"Cordiano C.","year":"1979","journal-title":"Int. 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