Reducing anastomotic complications with endoscopy in laparoscopic total gastrectomy

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastrointest Surg. Dec 27, 2025; 17(12): 114079
Published online Dec 27, 2025. doi: 10.4240/wjgs.v17.i12.114079

Table 2 Intraoperative management of positive leak tests in esophagojejunal anastomosis

Patient No.	Defect type	Management	Postoperative anastomotic complications	Postoperative hospital stay (days)
1	Anastomotic discontinuity	Suturing	No	10
2	Anastomotic discontinuity	Suturing	No	11
3	Anastomotic discontinuity	Suturing	No	10
4	Anastomotic bleeding	Endoscopic clamping	No	9
5	Anastomotic bleeding	Suturing	No	12
6	Anastomotic stricture	ESANR[16]	No	11
7	Full-thickness tearing	Redo anastomosis	No	13

ESANR: Esophagus-Sparing Anastomotic Narrowing Revision.

Citation: Gong L, Yu J, Lv ZB, Qin XZ, Li M, Guo W, Huang B, Tian YH. Reducing anastomotic complications with endoscopy in laparoscopic total gastrectomy. World J Gastrointest Surg 2025; 17(12): 114079
URL: https://www.wjgnet.com/1948-9366/full/v17/i12/114079.htm
DOI: https://dx.doi.org/10.4240/wjgs.v17.i12.114079

Gong L, Yu J, Lv ZB, Qin XZ, Li M, Guo W, Huang B, Tian YH. Reducing anastomotic complications with endoscopy in laparoscopic total gastrectomy. World J Gastrointest Surg 2025; 17(12): 114079 [PMID: 41479718 DOI: 10.4240/wjgs.v17.i12.114079]

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