{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T13:30:15Z","timestamp":1756992615443},"reference-count":40,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[1991,9,1]],"date-time":"1991-09-01T00:00:00Z","timestamp":683683200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[1991,9,1]],"date-time":"1991-09-01T00:00:00Z","timestamp":683683200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[1991,9,1]],"date-time":"1991-09-01T00:00:00Z","timestamp":683683200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[1991,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>From 1984 to 1989, 175 esophageal cancer patients, 10 patients admitted for severe caustic esophagitis, and 1 patient with pyothorax due to iatrogenic perforation of the esophagus underwent an esophageal resection or bypass operation. One hundred sixty\u2010eight esophageal resections were performed on 167 patients; 13 were total, 106 subtotal and 49 distal. Nineteen digestive transplants were pulled up to the neck to bypass the esophagus or re\u2010establish continuity after an esophagectomy made elsewhere. Digestive continuity was restored by a long gastric transplant in 120 patients, a colon segment in 17, a jejunal loop in 35, and a short gastric transplant after limited esophago\u2010gastrectomy in 14 patients. Thirty day mortality was 0\u00a0in the whole group. Hospital mortality was 1.2% in the resection group and 10.5% in the bypass group (<jats:italic>p<\/jats:italic>=0.048). Nonfatal postoperative complications consisted of respiratory distress in 33 patients, recurrent nerve palsy in 10, anastomotic fistula in 10 (cervical in 8 and intrathoracic in 2) and anastomotic stenosis in 18 patients. Respiratory complications were more frequent in patients with a cancer of the thoracic esophagus (29\/111) than in those operated on for a cancer located in the esophago\u2010gastric junction (4\/50) (<jats:italic>p<\/jats:italic>&lt;0.01). Anastomotic stenosis occurred more frequently in the neck (17\/137) than in the chest (1\/49) (<jats:italic>p<\/jats:italic>&lt;0.05). Nine patients were reoperated on for a technical complication; intraabdominal hemorrhage (1), thoracic duct injury (2), acute cholecystitis (1), tight stricture of the esophageal anastomosis (2), jejuno\u2010duodenal anastomotic fistula (2), or stridor related to recurrent nerve palsy (1). Low postoperative mortality may be achieved after esophageal surgery, even in a nonselected Caucasian population. However, nonfatal complications indicate that an esophageal resection or bypass operation remains a major surgical procedure. The surgical principles which we have applied to minimize postoperative mortality and severe complications are presented.<\/jats:p>","DOI":"10.1007\/bf01789213","type":"journal-article","created":{"date-parts":[[2005,6,20]],"date-time":"2005-06-20T01:07:52Z","timestamp":1119229672000},"page":"635-641","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Esophageal resection and by\u2010pass: A 6 year experience with a low postoperative mortality"],"prefix":"10.1002","volume":"15","author":[{"given":"Jean \u2010Marie","family":"Collard","sequence":"first","affiliation":[{"name":"Digestive Surgery Unit, Intensive Care Unit, and Anesthesiology Unit Louvain Medical School and St\u2010Luc Academic Hospital Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean \u2010Bernard","family":"Otte","sequence":"additional","affiliation":[{"name":"Digestive Surgery Unit, Intensive Care Unit, and Anesthesiology Unit Louvain Medical School and St\u2010Luc Academic Hospital Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Reynaert","sequence":"additional","affiliation":[{"name":"Digestive Surgery Unit, Intensive Care Unit, and Anesthesiology Unit Louvain Medical School and St\u2010Luc Academic Hospital Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luc","family":"Michel","sequence":"additional","affiliation":[{"name":"Digestive Surgery Unit, Intensive Care Unit, and Anesthesiology Unit Louvain Medical School and St\u2010Luc Academic Hospital Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie \u2010Anne","family":"Carlier","sequence":"additional","affiliation":[{"name":"Digestive Surgery Unit, Intensive Care Unit, and Anesthesiology Unit Louvain Medical School and St\u2010Luc Academic Hospital Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul \u2010Jacques","family":"Kestens","sequence":"additional","affiliation":[{"name":"Digestive Surgery Unit, Intensive Care Unit, and Anesthesiology Unit Louvain Medical School and St\u2010Luc Academic Hospital Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1991,9]]},"reference":[{"key":"e_1_2_1_2_1","unstructured":"Giuli R.:Les cancers de l'oesophage en 1984. 135 questions. Enqu\u00eate du Groupe O.E.S.O. Paris Maloine Editions 1984 pp.401\u201324."},{"key":"e_1_2_1_3_1","unstructured":"Baulieu J. Richelme H.:Le traitement des cancers de l'oesophage. Enqu\u00eate de l'Association Fran\u00e7aise de Chirurgie Paris Masson Editions 1986 pp.83\u2013102."},{"key":"e_1_2_1_4_1","unstructured":"Fuentes P.:Immediate results and actuarial survival after esophagectomy and esophagoplasty for squamous cell carcinoma of the esophagus: A European multicentric study of the G.E.E.M.O. 1st European Congress of Surgery Communication Paris France October 1990."},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01563683"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)38901-9"},{"key":"e_1_2_1_7_1","first-page":"285","article-title":"Traitement des tumeurs du carrefour oeso\u2010pharyngolaryng\u00e9 par oeso\u2010pharyngo\u2010laryngectomie: Exp\u00e9rience commune de l'UCL et de la KUL","volume":"85","author":"Collard J.M.","year":"1989","journal-title":"Lyon Chir."},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198610000-00007"},{"key":"e_1_2_1_9_1","unstructured":"Collard J.M. Otte J.B. Reynaert M. Kestens P.J.:Feasibility and effectiveness of en bloc resection of the esophagus for cancer: Results of a prospective study. Int. Surg. (in press)."},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-86432-2_101"},{"key":"e_1_2_1_11_1","first-page":"183","volume-title":"Current Practice of Surgical Stapling","author":"Collard J.M.","year":"1991"},{"key":"e_1_2_1_12_1","first-page":"171","article-title":"An original technique for lengthening the stomach in esophageal surgery: Preliminary results","volume":"2","author":"Collard J.M.","year":"1989","journal-title":"Diseases of the Esophagus"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-197906000-00001"},{"key":"e_1_2_1_14_1","first-page":"606","article-title":"Ein neues verfahren der oesophagoplastik","volume":"114","author":"Kirschner","year":"1920","journal-title":"Arch. Klin. Chir."},{"key":"e_1_2_1_15_1","first-page":"389","article-title":"Les plasties coliques de l'oesophage","volume":"82","author":"Otte J.B.","year":"1982","journal-title":"Acta Chir. Belg."},{"key":"e_1_2_1_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198110000-00007"},{"key":"e_1_2_1_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)38999-8"},{"key":"e_1_2_1_18_1","first-page":"493","article-title":"Overview of the current management of carcinoma of the esophagus and cardia","volume":"28","author":"Ellis F.H.","year":"1985","journal-title":"Can. J. Surg."},{"key":"e_1_2_1_19_1","first-page":"379","volume-title":"Esophageal Disorders","author":"Shao L.F.","year":"1985"},{"key":"e_1_2_1_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-86432-2_153"},{"key":"e_1_2_1_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-86432-2_155"},{"key":"e_1_2_1_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)60391-8"},{"key":"e_1_2_1_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)62019-X"},{"key":"e_1_2_1_24_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.93.5.1054"},{"key":"e_1_2_1_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)62424-1"},{"key":"e_1_2_1_26_1","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1007\/978-1-4471-3153-3_3","volume-title":"Management of Esophageal Carcinoma","author":"Cook\u2010Mozaffari P.","year":"1989"},{"key":"e_1_2_1_27_1","first-page":"45","article-title":"Le cancer de l'oesophage en Ille\u2010et\u2010Vilaine en fonction des niveaux de consommation d'alcool et de tabac","volume":"64","author":"Tuyns A.J.","year":"1977","journal-title":"Bull. Cancer"},{"key":"e_1_2_1_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800740530"},{"key":"e_1_2_1_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198707000-00012"},{"key":"e_1_2_1_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01655008"},{"key":"e_1_2_1_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)37470-7"},{"key":"e_1_2_1_32_1","unstructured":"Collard J.M. Salizzoni M. Otte J.B. Reynaert M. Kestens P.J.:Approccio multimodale ai tumori dell'esofago cervicale. Ann. Ital. Chir. (in press)."},{"key":"e_1_2_1_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800740225"},{"key":"e_1_2_1_34_1","unstructured":"Rosen H. Austrian Working Group for Surgical Oncology:Therapy of esophageal carcinoma: Differences between minor departments (less than 5 cases per year) and major departments (more than 5 cases per year). Communication 10th Congress of the C.I.C.D. Copenhagen 1988."},{"key":"e_1_2_1_35_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800730811"},{"key":"e_1_2_1_36_1","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19820515)49:10<2173::AID-CNCR2820491032>3.0.CO;2-Z"},{"key":"e_1_2_1_37_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004836-198706000-00020"},{"key":"e_1_2_1_38_1","unstructured":"Segol P. Gignoux M. Marchand P. Couque M. Bricard H.:Oesophagectomie pour cancer de l'oesophage. Etude comparative de l'oesophagectomie subtotale et de l'oesophagectomie partielle. Communication The Belsey 75th Birthday celebration meeting Louvain 1985."},{"key":"e_1_2_1_39_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198810000-00008"},{"key":"e_1_2_1_40_1","unstructured":"Liebermann\u2010Meffert D. Raschke M. Siewert J.R.:How well vascularized is a gastric tube from the greater curvature?Fourth World Congress of the International Society for Diseases of the Esophagus Chicago 1989 pp.1."},{"key":"e_1_2_1_41_1","first-page":"49","article-title":"Mortality after esophagectomy for carcinoma of esophagus: An analysis of risk factors","volume":"3","author":"Chan K.H.","year":"1990","journal-title":"Diseases of the esophagus"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/BF01789213.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/BF01789213\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/BF01789213","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/BF01789213.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,27]],"date-time":"2023-12-27T20:23:14Z","timestamp":1703708594000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/BF01789213"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1991,9]]},"references-count":40,"journal-issue":{"issue":"5","published-print":{"date-parts":[[1991,9]]}},"alternative-id":["10.1007\/BF01789213"],"URL":"https:\/\/doi.org\/10.1007\/bf01789213","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[1991,9]]},"assertion":[{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}