Bypass Operation by Single-Style Esophageal Plasty Using Small Intestines for Patients with End-Stage Esophageal Cancer which was Impossible to be Cured Radically

Year : 2024 | Volume :14 | Issue : 01 | Page : 1-5
By

Gi-Yong Ri

Yong-Jin Ryu

Hyon-Jong Kim

Un Sung

Hyo-Il Song

Ryong-Un Kim

Sung-Ho Kim

Il-Su Jo

Chol-Ho Hyon

Sung-Rim Pak

Jung-Hyok Jo

  1. Researcher Pyongyang University of medical sciences Pyongyang Korea
  2. Researcher Pyongyang University of medical sciences Pyongyang Korea
  3. Researcher Pyongyang University of medical sciences Pyongyang Korea
  4. Researcher Pyongyang University of medical sciences Pyongyang Korea
  5. Researcher Pyongyang University of medical sciences Pyongyang Korea
  6. Researcher Pyongyang University of medical sciences Pyongyang Korea
  7. Researcher Pyongyang University of medical sciences Pyongyang Korea
  8. Researcher Pyongyang University of medical sciences Pyongyang Korea
  9. Researcher Pyongyang University of medical sciences Pyongyang Korea
  10. Researcher Pyongyang University of medical sciences Pyongyang Korea
  11. Researcher Pyongyang University of medical sciences Pyongyang Korea

Abstract

The purpose of the present study was to figure out the possibility of the bypass operation in esophageal cancer which is impossible to be cured radically and its effect on the survival rate and quality of life of the patients. In recent years, the incidence of esophageal cancer has been increasing thus there are many problems occurring in keeping the quality of life. Especially gastrostomy is done in order to improve dysphagia in esophageal cancer patients who missed the optimal operation time, but the patients are suffering themselves due to the psychological burden about the gastrostomy and mental factors to miss the time and even some of them require the operation in those situations. We studied three patients diagnosed with esophageal cancer (impossible to be cured radically) from March 2021 to March 2022. All the patients were males, and the average age was 53.3 years. All of them had end-stage esophageal cancer and among them, two were T3N2M0 and the other one was T3N2M1. We concluded that radical cure by esophagotomy was impossible and bypass operation (single-style esophageal plasty using small intestine) was performed. On discharge, we evaluated the satisfaction of the patients about the operation, postoperative survival duration, and the quality of life by WHOQOL-100. After operation, the patients’ quality of life has been improved and the survival duration has been elongated from six months in the past to 12.7 months. Esophageal bypass operation by single-style esophageal plasty is an effective treatment to keep the patients’ quality of life, who has esophageal cancer impossible to be incised and increase the survival duration.

Keywords: esophageal cancer, esophageal plasty, bypass, quality of life, small intestine, dysphagia, psychological burden, mental factors

[This article belongs to Research & Reviews: A Journal of Medicine(rrjom)]

How to cite this article: Gi-Yong Ri, Yong-Jin Ryu, Hyon-Jong Kim, Un Sung, Hyo-Il Song, Ryong-Un Kim, Sung-Ho Kim, Il-Su Jo, Chol-Ho Hyon, Sung-Rim Pak, Jung-Hyok Jo. Bypass Operation by Single-Style Esophageal Plasty Using Small Intestines for Patients with End-Stage Esophageal Cancer which was Impossible to be Cured Radically. Research & Reviews: A Journal of Medicine. 2024; 14(01):1-5.
How to cite this URL: Gi-Yong Ri, Yong-Jin Ryu, Hyon-Jong Kim, Un Sung, Hyo-Il Song, Ryong-Un Kim, Sung-Ho Kim, Il-Su Jo, Chol-Ho Hyon, Sung-Rim Pak, Jung-Hyok Jo. Bypass Operation by Single-Style Esophageal Plasty Using Small Intestines for Patients with End-Stage Esophageal Cancer which was Impossible to be Cured Radically. Research & Reviews: A Journal of Medicine. 2024; 14(01):1-5. Available from: https://journals.stmjournals.com/rrjom/article=2024/view=143613




References

  1. Hihara J, Hamai Y, Emi M, Aoki Y, Taomoto J, Miyata Y, Okada M. Esophageal bypass operation prior to definitive chemoradiotherapy in advanced esophageal cancer with tracheobronchial invasion. The Annals of Thoracic Surgery. 2014; 97(1): 290–295p.
  2. Lam KH, Wong J, Lim ST, Ong GB. Pharyngogastric anastomosis following pharyngolaryngoesophagectomy: Analysis of 157 cases. World Journal of Surgery. 1981; 5: 509–516p.
  3. Kimura M, Ishiguro H, Tanaka T, Takeyama H. Advanced esophageal cancer with tracheobronchial fistula successfully treated by esophageal bypass surgery. International Journal of Surgery Case R 2015; 9: 115–118p.
  4. Kimura M. Bypass operation for Unresectable esophageal Cancer: Postoperative complications after thoracotomy versus no thoracotomy. Indian Journal of Surgery. 2016; 78(5): 351–355p.
  5. Nguyen NT, Kim E. Consideration for esophagectomy in patients with prior bariatric surgery. Obesity S 2016; 26: 727–729p.
  6. Sasaki CT, Salzer SJ, Cahow CE, Son Y, Ward B. Laryngopharyngoesophagectomy for advanced hypopharyngeal and esophageal squamous cell carcinoma: the Yale experience. The Laryngoscope. 1995; 105(2): 160–163p.
  7. Rankin SC. Carcinoma of the Esophagus. UK: Cambridge University Press; 2008. 109–110p.
  8. Spiro RH, Shah JP, Strong EW, Gerold FP, Bains MS. Gastric transposition in head and neck surgery: indications, complications, and expectations. The American Journal of Surgery. 1983; 146(4): 483–487p.
  9. Udagawa Laryngectomy-esophageal bypass surgery for unresectable high-level esophageal cancer. Thoracic Surgery. 2019; 72(6): 38–39p. Available from: https://webview.isho.jp/journal/detail/pdf/10.15106/j_kyobu72_432. DOI- https://doi.org/10.15106/j_kyobu72_432
  10. Uchibori K, Suhara K, Chiba S, Tsuchiya K, Fujie T, Tamaoka A, Sakashita H, Inase N. A case of squamous cell carcinoma of the lung treated with esophageal bypass surgery for bronchoesophageal fistula. Bronchology. 2013; 35(2): 150–155p. Available from: https://www.jstage.jst.go.jp/article/jjsre/35/2/35_KJ00008612232/_article/-char/ja/

Regular Issue Subscription Case Study
Volume 14
Issue 01
Received August 31, 2023
Accepted February 13, 2024
Published April 18, 2024