Report of a cased of carcinoma of the hypopharynx successfully treated by immediate pharyngogastrostomy
Haas, E.; Mappes, G.
Laryngologie Rhinologie Otologie 54(5): 428-434
1975
ISSN/ISBN: 0340-1588 PMID: 162619 Document Number: 90071
The treatment of carcinoma of the lower part of the pharynx and upper oesophagus presents many difficulties. One of the outstanding problems being that of repair of the defect after excision of the pharyngo-oesophageal portion of the alimentary tract. This paper describes an operation in which the mobilized stomach is transposed after blunt dissection of the oesophagus via a posterior mediastinal tunnel without thoracotomy to a position high in the neck, with anastomosis of the fundus to the pharynx at the level of vallecula. This type of oesophagectomy was first tried bei Turner 1936 for carcinoma of the thoracic oesophagus. The main advantage of this form of repair is that it can restore normal swallowing within a few days in this difficult clinical situation.