The purpose of this study is to analyse retrospectively the early postoperative and functional outcome of patients (pts) after Merendino procedure for benign or early malignant lesions of the distal part of the esophagus or the gastroesophageal junction.
Between 2004 and 2013, 14 pts had transhiatal resection of median 8 (6-10) cm of distal esophagus including the gastroesophageal junction. Locoregional lymphadenectomy was performed in all patients with (suspected) early adenocarcinoma. In case of vagus nerve resection, pyloromyectomy and cholecystectomy were done. A pediculated isoperistaltic jejunal segment of 15-18 cm length was interponed between esophageal stump and remaining stomach by end-to-side anastomoses. At least one postoperative contrast examination of the anastomoses was done in all pts. Quality of life was assessed by using the EORTC QLQ-OES18 survey, recording patients' general activity and condition and specific gastrointestinal symptoms.
Study Type
OBSERVATIONAL
Enrollment
26
EORTC and QLQ-C30 / QLQ-OES24 questionnaire was sent to patients to asses QoL after MER or CON procedure
Kantonsspital Baselland, Liestal
Liestal, Basel-Landschaft, Switzerland
Quality of Life (QoL)
EORTC QLQ-C30 and QLQ-OES24 questionnaire (global health status item, functional and symptom scale items)
Time frame: up to 10 years after surgery
Intraoperative complications
Blood loss (ml), requirement for blood transfusion (units), operation time (min)
Time frame: up to 1 day after surgery
Postoperative complications
Morbidity (re-intervention rate, re-operation rate), in-hospital mortality
Time frame: up to 100 days after surgery
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