Linear stapling forms improved anastomoses during esophagojejunostomy after a total gastrectomy

Hideo Matsui, Ichiro Uyama, Atsushi Sugioka, Junko Fujita, Yoshiyuki Komori, Masahiro Ochiai, Akitake Hasumi

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

Background: Circular stapling devices are commonly used to form esophagojejunal anastomoses after total gastrectomy. However, the technique has potential problems with placement of the purse-string suture and insertion of the anvil of the instrument. Methods: We describe an improved technique for esophagojejunostomy by functional end-to-end anastomosis with linear stapling devices. Results: Three patients with gastric cancer underwent this procedure after total gastrectomy. No anastomotic leakage or clinical evidence of stenosis was encountered. The maximum diameters of the anastomoses, evaluated by radiography with barium at 6 months after surgery, were 3.5 cm and 4.0 cm in 2 patients. Endoscopic examination revealed clear lines of anastomosis with a straight continuity between the distal esophagus and the jejunum. Conclusions: Our improved technique for esophagojejunostomy by functional end-to-end anastomosis with two linear staplers is a convenient, safe and reliable procedure that is independent of the width of the esophagus and the depth of the esophageal hiatus.

Original languageEnglish
Pages (from-to)58-60
Number of pages3
JournalAmerican Journal of Surgery
Volume184
Issue number1
DOIs
Publication statusPublished - 2002

All Science Journal Classification (ASJC) codes

  • Surgery

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