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A MIS PADRES Sr. Jacinto Mendoza Verastegui Sra. Eleodora Rojas Pastrana Por su eterno
apoyo y cariño

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DR. MANUEL HUAMAN GUERRERO
DR. FILOMENO JÁUREGUI FRANCIA

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INTRODUCCIÓN: La técnica del tubo gástrico consiste en la realización de un tubo gástrico
iniciado por división del epiplón menor, movilización del estómago con ligadura de los vasos
coronarios estomáticos izquierdo y gastroepiploicos izquierdo, luego aplicación de un cartucho
de grapas en un ángulo de 60 grados al borde derecho del estomago y otra paralelo a 20 mm del
borde libre de la curvatura menor hacia el lado izquierdo del cardias. Este tubo gástrico a través
del hiato esofágico se asciende por vía mediastinal posterior hasta llegar a nivel del cuello donde
se realiza una anastomosis gástrico esofágico.
El objetivo del presente trabajo es demostrar la utilidad de la técnica del tubo gástrico como
alternativa quirúrgica en el reemplazo de esófago, y evaluar sus complicaciones postquirúrgicas.
MATERIALES Y MÉTODOS: Se realizó un estudio descriptivo retrospectivo no
experimental. Se estudiaron 51 pacientes con cáncer de esófago, en quienes se le realizó la
técnica del tubo gástrico como reemplazo esofágico, en el Servicio de Esófago del Hospital
Edgardo Rebagliati Martins entre Enero de 1995 - Diciembre 2001. Se realizó un método de
trabajo retrospectivo de recolección y un análisis de tipo descriptivo univariante.
RESULTADOS Y DISCUSIÓN: Se encontró que el grupo etáreo más frecuente en que se
realizó el tubo gástrico fue el de 60-70 años con un 39.22%. Con predominio del grupo
masculino con 54.90% de los casos. El síntoma más frecuente fue la disfagia, que se encontró en
el 84.31% de los pacientes. La complicación postoperatoria inmediata más frecuente fueron los
problemas respiratorios con un 31.37% de los casos. Y la estancia hospitalaria más frecuente fue
entre 1-2 semanas con un 47.05% de los casos.
CONCLUSIONES: Se concluye que la utilización del tubo gástrico es una buena opción
quirúrgica para el reemplazo esofágico en el cáncer de esófago, pero que no hay una operación
reconstructiva adecuada para todos los pacientes, así la operación debe ser individualizada.

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