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Ann Thorac Surg 1995;60:267
© 1995 The Society of Thoracic Surgeons

Discussion

Discussion

The first 20% of the full text of this article appears below.

See also page 261.

DR MARK B. ORRINGER (Ann Arbor, MI): Doctor Collard, while questions are being formulated, I just want to compliment you on this work. It is seldom that papers concerned with esophageal replacement deal so well with the functional results of esophageal substitution, and this is the type of information that is absolutely vital in demonstrating the efficacy of such operations. We must assess more than simply how contrast material flows down the esophageal substitute, including how the patients feel. I commend you for this very objective clinical outcomes research.

Do you not feel that your ``denudation'' operation is more applicable in the patient with benign disease, because clearly the margin in the patient with carcinoma, particularly that near the cardia, would be compromised by denudation that saves the entire stomach?

DR THOMAS R. J. TODD (Toronto, Ont, Canada): I, too, enjoyed your paper and congratulate you not only on being pretty comprehensive in examining the patients but in producing such a large series.

The question I have for you relates to the assessment of eating function after operation. Was that undertaken by a questionnaire that the patients filled out or was it completed by the physician after interviewing the patient, and if it was the latter, was the physician blinded as to . . . [Full Text of this Article]


Related Article

Esophageal Replacement: Gastric Tube or Whole Stomach?
Jean-Marie Collard, Nicolas Tinton, Jacques Malaise, Renato Romagnoli, Jean-Bernard Otte, and Paul-Jacques Kestens
Ann. Thorac. Surg. 1995 60: 261-266. [Abstract] [Full Text]





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Copyright © 1995 by The Society of Thoracic Surgeons.