Transhiatal stapled esophagojejunostomy without a pursestring suture in patients with previous gastric resection.
Previous gastric resection complicates alimentary tract reconstruction after esophagectomy. Colonic interposition is the standard conduit in this circumstance, but has substantial mortality and morbidity, especially important when treatment goals are to provide effective alimentation and minimize hospital stay. This report details the technique of a transabdominal, intrathoracic, stapled esophagojejunostomy created without a pursestring suture, which was used to reconstruct the esophagus in 3 patients who had previously undergone partial gastrectomy. This technique avoids both colon interposition and thoracotomy, thereby minimizing the associated complications.
Department of Cardiovascular and Thoracic Surgery, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois 60612.
R D
RD
Adams
K B
KB
Allen
K
K
Millikan
A
A
Doolas
L P
LP
Faber
D000368:Aged; D000713:Anastomosis, Roux-en-Y / Q000379:methods; D004938:Esophageal Neoplasms / Q000601:surgery; D016629:Esophagectomy; D004943:Esophagogastric Junction; D004947:Esophagus / Q000601:surgery*; D005743:Gastrectomy; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D017792:Surgical Stapling; D013537:Sutures