Complications Of Esophageal Surgery And Trauma

Optimal management of conditions affecting the esophagus challenges even the most experienced surgeon. The esophagus is subject to the same complications that affect other portions of the gastrointestinal (GI) tract (obstruction, anastomotic leak, perforation, and stricture). Several unique features of the esophagus contribute to the higher morbidity and mortality rates associated with esophageal trauma and surgery. These complications are not only more devastating but also are more difficult to diagnose early and treat. Meticulous technique and careful attention to detail must be applied during esophageal surgery, in order to avoid the devastating physiologic consequences from postoperative complications. This chapter will review the anatomy and physiology of the esophagus and describe some of the more common complications after esophageal surgery and trauma.