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10 EFFECT OF SUBSPECIALTIES OF GASTRO-INTESTINAL SURGERIES ON PATIENT’S OUTCOMES
Diseases of the Esophagus ( IF 2.6 ) Pub Date : 2021-09-17 , DOI: 10.1093/dote/doab052.10
Reda Ezz 1
Affiliation  

Subspecialty policy is increasing all over the world aiming to improve the results of heavy esophageal surgeries. Our aim is to define the impact of having surgical specialized esophageal unit on the volume of patients and the results. Methods We reviewed all esophageal cases managed in our esophageal specialized department (from May 2016 to May 2019 Group A) and we compared the results to previous 3 years (from May 2013 to May 2016 Group B) and to the international results. There was 394 cases in group A compared to 104 cases in group B. Results For Gastro esophageal reflux disease (GERD),180 operations were performed in group a (45.7%) compared to 61 cases in group B (68.7%). Forty two (10.7%) modified Heller’s cardiomyotomy (Open and laparoscopic) for achalasia were performed in group A compared to 17 cases (16.3%) in group B. Surgeries for malignant lesions were performed for 122 cases (30.9%) in group A compared to 13 cases (12.5%) in group B. Other Esophageal operations were also done for 50 cases (12.7%) in group A compared to 13 cases (12.5%) in group B. Morbidities and mortalities are reported and compared to the international results. Conclusion Our results in group A are comparable to Hospital mortality rates for patients in medium-volume centers (7.5%). Also we approach the International results for morbidities of benign esophageal disease (5.7–12.7%) for fundoplication. Having a specialized esophageal unit resulted in increase of the volume of patients and improvement of the results.

中文翻译:

10 胃肠外科亚专科对患者预后的影响

世界各地的亚专科政策正在增加,旨在改善重型食管手术的结果。我们的目标是确定外科专科食管单元对患者数量和结果的影响。方法 我们回顾了我们食管专科管理的所有食管病例(2016 年 5 月至 2019 年 5 月 A 组),并将结果与​​前 3 年(2013 年 5 月至 2016 年 5 月 B 组)和国际结果进行比较。结果A组394例,B组104例。 结果胃食管反流病(GERD),A组180例(45.7%),B组61例(68.7%)。A 组进行了 42 例 (10.7%) 改良 Heller 心肌切开术(开腹和腹腔镜)治疗贲门失弛缓症,而 B 组 17 例 (16.3%)。A组122例(30.9%)行恶性病灶手术,B组13例(12.5%)。其他食管手术A组50例(12.7%),13例(12.5%) %) 在 B 组中。报告发病率和死亡率并与国际结果进行比较。结论 我们在 A 组的结果与中等容量中心患者的医院死亡率(7.5%)相当。此外,我们也接近了胃底折叠术中良性食管疾病(5.7-12.7%)发病率的国际结果。拥有一个专门的食管单元导致患者数量的增加和结果的改善。7%)与 B 组 13 例(12.5%)相比。报告了发病率和死亡率,并与国际结果进行了比较。结论 我们在 A 组的结果与中等容量中心患者的医院死亡率(7.5%)相当。此外,我们也接近了胃底折叠术中良性食管疾病(5.7-12.7%)发病率的国际结果。拥有一个专门的食管单元导致患者数量的增加和结果的改善。7%)与 B 组 13 例(12.5%)相比。报告了发病率和死亡率,并与国际结果进行了比较。结论 我们在 A 组的结果与中等容量中心患者的医院死亡率(7.5%)相当。此外,我们也接近了胃底折叠术中良性食管疾病(5.7-12.7%)发病率的国际结果。拥有一个专门的食管单元导致患者数量的增加和结果的改善。7%) 用于胃底折叠术。拥有一个专门的食管单元导致患者数量的增加和结果的改善。7%) 用于胃底折叠术。拥有一个专门的食管单元导致患者数量的增加和结果的改善。
更新日期:2021-09-17
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