STUDY TO KNOW THE MORTALITY AND MORBIDITY OF CARCINOMA OESOPHAGUS

Objective: To investigate the morbidity and mortality of carcinoma oesophagus. Study design: A case series. Configuration and duration: In the Surgical Unit II of Jinnah Hospital, Lahore for four year period from June 2014 to June 2018. Methodology: A total of 32 patients with carcinoma oesophagus were included in the study. All data were corrected prospectively. Patients with bronchial involvement were excluded from the study. The data were collected in a specially designed proforma. Results: Thirty-two carcinomas oesophagus were diagnosed and treated for a period of 4 years. The proportion of men and women was 1.2:1. There was dysphagia in 100%, weight loss in 75%, regurgitation and vomiting in 50% and 31.25% respectively, with pain on the upper part of the abdomen. Swallowing and endoscopy growth in barium was observed in 6 patients (18.7%) in the upper third of the esophagus, in the middle third 14 patients (43.7%), in the lower third 12 patients (37.5%). In histopathology, 60% of cases were reported as adenocarcinoma and 40% as squamous cell carcinoma. The patients were managed with different surgical procedures. Postoperative complications were 13.1% for thoracic infection, 12.5% for wound infection and 9.3% for anastomatic leakage 9.3%. Conclusion: Carcinoma Oesophagus has a poor prognosis. Early diagnosis, intensive care units and specialists in oesophagus surgery can reduce morbidity and mortality. Key Words: Complications, diagnosis, carcinoma oesophagus