Linear-stapled side-to-side esophagojejunostomy with hand-sewn closure of the common enterotomy after prophylactic and therapeutic total gastrectomy Journal Article

   


Authors: Chang, K. K.; Patel, M. S.; Yoon, S. S.
Article Title: Linear-stapled side-to-side esophagojejunostomy with hand-sewn closure of the common enterotomy after prophylactic and therapeutic total gastrectomy
Abstract: After total gastrectomy, anastomosis-related complications such as leak or stricture can be highly morbid. Between July 2005 and December 2015, a linear-stapled side-to-side esophagojejunostomy with hand-sewn closure of the common enterotomy (modified Orringer technique) was used for Roux-en-Y reconstruction after prophylactic total gastrectomy in 22 germline CDH1 mutation carriers and after therapeutic total gastrectomy in 18 patients diagnosed with gastric adenocarcinoma. All operations were performed by the same surgeon. No patient in either cohort developed a clinically evident anastomotic leak, one patient (2.5%) developed a contained radiographic leak that healed without intervention, and one patient (2.5%) developed an anastomotic stricture treated by endoscopic dilatation 7 months after operation. These rates were lower than radiographic leak and stricture rates in a comparison group of 32 patients who received a completely hand-sewn esophagojejunostomy (6.3 and 3.1%, respectively). Here, we describe how to perform the linear-stapled esophagojejunostomy anastomosis. © 2016, The Society for Surgery of the Alimentary Tract.
Keywords: anastomotic stricture; gastric adenocarcinoma; hereditary diffuse gastric cancer; anastomotic leak; total gastrectomy; esophagojejunostomy; cdh1 mutation
Journal Title: Journal of Gastrointestinal Surgery
Volume: 21
Issue: 4
ISSN: 1091-255X
Publisher: Springer  
Date Published: 2017-01-01
Start Page: 712
End Page: 722
Language: English
DOI: 10.1007/s11605-016-3326-5
PROVIDER: scopus
PMCID: PMC5360481
PUBMED: 27882512
DOI/URL:

https://www.scopus.com/inward/record.uri?eid=2-s2.0-84996844196&doi=10.1007%2fs11605-016-3326-5&partnerID=40&md5=b44758548285f141c69782f9b9585db8
Notes: Article -- Export Date: 4 April 2017 -- Source: Scopus
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MSK Authors
  1. Sam Yoon
    108 Yoon
  2. Kevin Chang
    14 Chang
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