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Select Term (34)

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Select Term (34)

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99.

The patient in poor general condition was transported to the hospital admission room. He reports a retrosternal pain and high fever. On the physical examination the crackling of the skin was palpable around the neck. The patient had been diagnosed with advanced oesophageal cancer. The chest CT showed the presence of air in the mediastinum, contrast leakage in the thoracic section of the esophagus and fluid effusion in the right pleural cavity. Indicate the optimal surgical procedures in this case:

A. a gastric probe, a ban on oral nutrition, antibiotic therapy.
B. stitching the oesophagus with an access via right-sided thoracotomy.
C. exclusion of the oesophagus by emergent esophagostomy at the neck, mediastinal drainage, closure of the gastric cardia, further feeding by nutritional gastrostomy.
D. oesophageal resection with gastroesophageal anastomosis in the cage chest.
E. implantation of a self-expandable coated stent with possible drainage of the right pleural cavity.

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