By D. Van Gysel, K. De Boeck, T. Lerut, T. Willems, M. Carrette, H. Devlieger (auth.), Professor Kin-ichi Nabeya M.D., Professor Tateo Hanaoka M.D., Hiroshi Nogami M.D. (eds.)
The 5th global Congress of the foreign Society for illnesses of the Esophagus was once held within the historical urban of Kyoto, Japan, from August five via eight, 1992. nearly forty nations through the international participated and approximately 500 displays have been made. first-class authors have been chosen and so they have been asked to ship of their manuscripts for booklet of this publication. it really is our ardent wish that this publication will turn out to be necessary to the medical professional attracted to the esophagus and that it'll give you the reader with first-hand details from major scientists and clinicians during this box. The prevalence of esophageal ailments differ significantly from kingdom to nation and lately, around the world curiosity in those ailments has ended in numerous overseas reviews. The overseas Society for illnesses of the Esophagus was once inaugurated via Professor Komei Nakayama in 1979 and because that point it has actively contributed to the trade of knowledge concerning those illnesses and has made endeavors in bringing approximately development within the fight opposed to ailments of the esophagus in each means possible.
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F. Crookes et al. Number of patients o 2 3 4 5 AFP Score Fig. 1. The spectrum of severity as assessed by the AFP score in 135 patients percent 100 80 • 60 MILD (AFP 0-2) III MODERATE o SEVERE (AFP 3-5) (AFP 6-8) 40 20 o Good result Poor result Fig. 2. The symptomatic outcome of antireflux surgery in patients with disease classified as mild, moderate, or severe using the AFP score Results Figure 1 shows the spectrum of disease as shown by the AFP score in the 135 patients. Patients were classified as having mild (AFP score 0-2), moderate (score 3-5), or severe (score 6-8) disease.
Outcome after surgery was assessed symptomatically on a standard questionnaire at clinic visits or by telephone interview. Follow-up ranged from 6-96 months (median 50 months). Patient satisfaction with surgery was graded from 1 (no symptoms at all) to 4 (persistent or recurrent symptoms or troublesome side effects not controlled by medication) similar to Visick grading. Patients with grade 1 or 2 symptoms were classified as having a good result, and grade 3 or 4 symptoms were classified as a poor result.
To avoid development of a stenosis, it is important to use a meticulous single row suture technique as well as using a limited exposure of the esophageal ends so as not to damage the vascular supply. In those patients in whom a primary suture is not possible, the choice of operative techniques becomes essential. Generally, one has to differentiate primary repairs and staged, possibly as a combination of conservative and 17 Congenital Esophageal Atresia operative treatment modalities and procedures.