A double stapled technique for oesophago-enteric anastomosis

doi:10.3748/wjg.v10.i22.3339

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World Journal of Gastroenterology

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1007-9327

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

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World J Gastroenterol. Nov 15, 2004; 10(22): 3339-3341
Published online Nov 15, 2004. doi: 10.3748/wjg.v10.i22.3339

A double stapled technique for oesophago-enteric anastomosis

A Kotru, A K John, E P Dewar

A Kotru, A K John, E P Dewar, Department of Surgery, Airedale General Hospital, Keighly BD20 6TD, UK

Author contributions: All authors contributed equally to the work.

Correspondence to: A Kotru, 273-Spen Lane, West Park, Leeds LS16 5EJ, UK. ajokjohn@yahoo.com

Telephone: +44-1132288911

Received: February 11, 2004
Revised: April 4, 2004
Accepted: April 7, 2004
Published online: November 15, 2004

Abstract

AIM: Leakage from oesophageal anastomosis is associated with substantial morbidity and mortality. This study presented a novel, safe and effective double stapled technique for oesophago-enteric anastomosis.

METHODS: The data were obtained prospectively from hospital held clinical database. Thirty nine patients (26 males, 13 females) underwent upper-gastrointestinal resection between 1996 and 2000 for carcinoma (n = 36), gastric lymphoma (n = 1), and benign pathology (n = 2). Double stapled oesophago-enteric anastomosis was performed in all cases.

RESULTS: No anastomotic leak was reported. In cases of malignancy, the resected margins were free of neoplasm. Three deaths occurred, which were not related to anastomotic complications.

CONCLUSION: Even though the reported study is an uncontrolled one, the technique described is reliable, and effective for oesophago-enteric anastomosis.

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