Esophagofundostomy

Esophagofundostomy: procedure and application

An esophagofundostomy is a medical procedure that is used to create a connection between the esophagus and the stomach. The term "esophagofundostomy" is derived from the combination of the words "esophago-" (relating to the esophagus), "fundus" (bottom) and "stoma" (opening). This surgery is performed to improve the functioning of the digestive system or to treat certain medical conditions.

An esophagofundostomy procedure may be necessary in the following cases:

1. Esophageal reflux disease: This condition occurs when acid from the stomach returns to the esophagus, causing irritation and inflammation of the esophagus walls. An esophagofundostomy can be used to create a new connection between the esophagus and the stomach, bypassing the esophageal sphincter to reduce reflux and symptoms associated with it.

2. Esophageal achalasia: This is a rare condition in which the muscles in the lower esophagus do not relax properly, making it difficult for food to pass from the esophagus into the stomach. An esophagofundostomy may help relieve the symptoms of achalasia by creating a bypass for food and making it easier for food to pass through the digestive system.

3. Esophageal Tumors: In the event that an esophageal tumor is blocking the passage of food through the esophagus, an esophagofundostomy can be used to provide an alternative route for food to bypass the tumor and make digestion easier.

4. Complications after surgical removal of the esophagus: In some cases where the esophagus is surgically removed, an esophagofundostomy may be performed to restore the connection between the esophagus and the stomach.

The esophagofundostomy procedure is usually performed by creating a small incision in the upper abdomen and chest. Then, part of the stomach is sutured to the esophagus, creating a new connection. This new pathway allows food to pass freely from the esophagus into the stomach.

Like any surgical procedure, esophagofundostomy may come with certain risks and complications, such as infection, bleeding, or failure of the wound to heal. Therefore, each case should be considered individually, and the decision about the need for esophagofundostomy should be made together with the doctor after a thorough discussion of the benefits and potential risks.

In conclusion, esophagofundostomy is a surgical procedure that can be used to improve the functioning of the digestive system and treat certain conditions such as esophageal reflux disease, esophageal achalasia, esophageal tumors, and complications after esophageal removal. However, before deciding to undergo this procedure, it is necessary to have a thorough discussion with a medical professional and evaluate all the benefits and risks associated with it.

**Esophageal fundostomy** is an operation to create an artificial connection between the esophagus and stomach through the anterior abdominal wall. Surgical intervention is performed in cases where the natural communication between these organs is destroyed or severely hampered. The main cause of problems with natural communication is narrowing of the esophagus. It can be caused by various factors: a food bolus that forms during the passage of solid food, the entry of irritating substances into the esophagus, certain diseases