Management of Major Complications After Esophagectomy.

Peter J Kneuertz, Patrick Bou-Samra

Journal: Surgical oncology clinics of North America 2024;33(3):557-569

PMID: 38789198

Full Text on Elsevier Science View on PubMed

Abstract

Esophagectomy remains a procedure with one of the highest complication rates. Given the advances in medical and surgical management of patients and increased patient survival, the number of complications reported has increased. There are different grading systems for complications which vary based on severity or organ system, with the Esophageal Complications Consensus Group unifying them. Management involves conservative intervention and dietary modification to endoscopic interventions and surgical reintervention. Treatment is etiology specific but rehabilitation and patient optimization play a significant role in managing these complications by preventing them. Management is a step-up approach depending on the severity of symptoms.

Address: Division of Thoracic Surgery; The Ohio State University Wexner Medical Center, 410 W 10th Avenue, Columbus, OH 43054, USA.; Division of Thoracic Surgery; The Ohio State University Wexner Medical Center, 410 W 10th Avenue, Columbus, OH 43054, USA; Ohio State University Comprehensive Cancer Center- James and Solove Research Institute, Columbus, OH, USA. Electronic address: [email protected].

DOI: 10.1016/j.soc.2023.12.021

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MeSH Terms: Humans, Esophageal Neoplasms, Esophagectomy, Postoperative Complications, Practice Guidelines as Topic