Evaluation of Different Surgical Modalities for the Management of End Stage Benign Esophageal Disease

Document Type : Original Article

Authors

Cardiothoracic Surgery Department, Faculty of Medicine, Alexandria University

Abstract

Background

Esophageal resection is considered a complex procedure that is mostly indicated for a malignant pathology in the esophagus and rarely used for cure of other benign esophageal pathologies.

Disease of benign nature that affect the esophagus like achalasia, stricture, chemical injury, GERD and perforation are mostly managed by other less aggressive ways like endoscopic interventions or stent insertion but esophagectomy still has a valuable role in treatment of resistant cases that do not respond in other treatment modalities.



Methods

This is a retrospective observational study over a 10-year period from October 2012 to October 2022 for patients who operated due to an advanced stage resistant benign disease of the esophagus.

Results

Regarding the preoperative diagnosis, 9 patients were diagnosed with post corrosive esophageal stricture, 8 patients with dysmotility disorder or achalasia, one patient with hiatal hernia and one patient with contained esophageal perforation.

The mean ICU stay in all patients was 2.53 ± 1.17 days and post operative anastomotic leakage was present in 7 patients (43.75%).

Only two patients suffered from postoperative pulmonary complications: one patient with chest infection and the other with pleural effusion.



Conclusion

Esophageal resection and reconstruction using either stomach or colon as a conduit could be a valuable approach with very accepted outcome for this category of patients.

Most of the patients could report relief of their symptoms especially dysphagia that usually improve over a period of time ranging from 6months up to 1 year after surgery.

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Zagazig University Medical Journal
Volume 31, Issue 10
October 2025
Pages 4984-4990

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