Pulmonary complications 57% with TTE 27% with THE ( SKF 409)
Anastomotic leak 16% TTE and 14% THE ( not significant) subclinical leak slightly more in THE
Option D is correct
Cardiac complications, Vocal cord paralysis , wound infection, chyle leak are all more with TTE
Blackmon et al. published a propensity-matched analysis comparing outcomes between side-to-side stapled anastomosis, end-to-end circular stapled anastomosis, and handsewn,
with no significant difference in leak rate noted. ( SKF page 475)
Q . Caustic injury of esophagus pick up the false statement ( # All Questions of esophagus) a) Steroid is used b) Carcinoma risk is 30% c) Contrast study has false negative of 25% d Esophageal stent reduce leaks by 75%
Ans ) a
Points of esophagus caustic injuries
There is no proven benefit of starting steroids in early or intermediate phase of injury as there is no evidence to support prevention of stricture
Endoscopy should be performed after initial stabilization
Complete esophagus can be examined now with flexible endoscopes
Available studies show no benefit of steroid use ( skf PAGE 521)
Cancer risk is 30% in injured and non injured portions