Study of the Survival Rate and Functional Outcome of Esophagectomy in 192 Patients afflicted with Esophageal Carcinoma in North Iran

Kohsari, MR.; Aghajanzadeh, M.; Safarpor, F.; Masor Ganaee, F.

Study of the Survival Rate and Functional Outcome of Esophagectomy in 192 Patients afflicted with Esophageal Carcinoma in North Iran

Document Type : Original Article

Authors

MR. Kohsari ¹

M. Aghajanzadeh ²

F. Safarpor ²

F. Masor Ganaee ³

¹ Assistant Professor of General Surgery, Gilan University of Medical Sciences and Health Services, Razi Hospital, Gilan, Iran

² Associate Professor of General Surgery, Gilan University of Medical Sciences and Health Services, Razi Hospital, Gilan, Iran

³ Professor of Internal GI Track, Gilan University of Medical Sciences and Health Services, Razi Hospital, Gilan, Iran

Abstract

Introduction & Objective: Esophageal Carcinoma is a rapidly spreading fatal disease endemic in north Iran. Esophagectomy is the palliative management. Functional outcome of this major surgery is the expected result in the form of relief from dysphagia. We studied the post-operative survival rate and functional outcome of esophagectomy. Materials & Methods: From 1991 to 2001, 240 patients afflicted with esophageal carcinoma underwent esophagectomy at the Razi University Hospital, Arya and Golsar Hospitals of Rasht. The annual survival rate and the quality of life in terms of relief from dysphagia were studied using a self reported questionnaire and case records of 192 patients. Data were analyzed with the help of SPSS 11.5. Results: The 4-year survival rate for all patients was 38.0%. The 1-year, 2-year and 3-year survival rates were 80%, 61%, 52% respectively. Of these patients 61% complained from mild dysphagia, 25% of the had severe dysphagia, 6% had odinophagia and 18% complained of Heart burn, and 28% patients needed dilatation twice or thrice during3 years of survival. Only 14% were asymptomatic. Conclusions: The results of this study in north Iran suggests that 4 years after esophgectomy surgery, the survival rate was 38%, but only 14% of all cases enjoyed normal functional outcome.

Keywords

Esophageal Carcinoma

Esophagectomy

Survival Rate