Esophagostomy Management

Abstract

The decision to remove an esophagus that is unsalvageable in an emergent setting typically results in diversion. Immediate reconstruction is ill-advised, typically because infection will complicate healing of a new anastomosis, patients are often too ill to undergo reconstruction, and such cases are long and require preparation and the assembly of a specialized team. Once a patient's esophagus is diverted and drained, control of a septic source can lead to stabilization and survival. Physical and emotional support for these patients is a crucial part of their successful management, whether they undergo subsequent esophageal reconstruction or not.