Report of a Case with Transrectal Administration of Thyroid Hormone after Total Esophagectomy Combined with Thyroidectomy, Parathyroidectomy and Pharyngo-laryngectomy for Cervical Esophageal Cancer

Kazuo Kurayoshi, Osamu Kimura, Nobuhiko Toyoda, Hideo Sakamoto, Setsujo Siota, Masao Yonekawa, Kazuyoshi Hoshino, Michio Maeta, Nobuaki Kaibara

First Department of Surgery, Tottori University, School of Medicine

On the surgical treatment of cervical esophageal cancer, combined resection of surrounding organs has occasionally been performed. When total thyroidectomy is indicated, administration of thyroid hormone is indispensable during the postoperative fasting period. In these cases, however, administration of thyroid hormone has some problems because it is only prepared for oral use. We tried transrectal administration of thyroid hormone in the form of a suppository on a patient with total esophagectomy combined with total thyroidectomy to prevent a decline in serum levels of thyroid hormone. A 58-year-old man, complaining of dysphagia, was diagnosed as having cervical esophageal cancer. Total esophagectomy combined with resection of the bilateral thyroid and parathyroid, lower pharynx and larynx was performed because of tumor invasion into these organs. During 3 weeks after operation, suppository of thyroid hormone was used to prevent the decline of its serum levels. Trasrectal administration of thyroid hormone seems to be useful to treat fasting patients with cervical esophageal cancer after esophagectomy combined with thyroidectomy.

Key words
cervical esophageal cancer, esophagectomy combined with thyroidectomy, transrectal administration of thyroid hormone

Reprint requests
Osamu Kimura First Department of Surgery, Tottori University, School of Medicine
36-1 Nishimachi, Yonago, 683 JAPAN

Accepted
October 11, 1990

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