[Circular staplers in esophagojejunal and esophagogastric anastomoses].
A report on 100 consecutive esophagoenteric anastomoses (EEA stapler) following total (esophagojejunostomy) or proximal gastrectomy (esophagogastrostomy) is presented. The following intraoperative problems occurred: insufficiency of the purse string suture [4], lumen of the esophagus too small [1], rupture of the esophageal wall [4], incomplete rings [4]. Fatal postoperative complications included two cases of insufficiency of the esophagojejunostomy, whilst the remaining six postoperative deaths were not linked to the use of the stapler (operative mortality 8%). Follow-up showed no recurrence at the stapler line, but two anastomotic strictures occurred. The EEA stapler is a helpful instrument to reduce leakage at the esophagoenteric anastomosis and, hence operative mortality after total and proximal gastrectomy.
Tuchmann
A
A
I. Chirurgische Abteilung, Krankenanstalt Rudolfstiftung, Wien.
Blauensteiner
W
W
Hoffer
F
F
Armbruster
C
C
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000401:mortality; D004947:Esophagus / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013270:Stomach / Q000601:surgery*; D013274:Stomach Neoplasms / Q000601:surgery; D013528:Surgical Staplers / Q000009:adverse effects*
Die zirkuläre Klammernaht bei ösophagojejunalen und -gastralen Anastomosen.