End-to-side and end-to-end anastomoses give similar results in cervical oesophagogastrostomy.
OBJECTIVE
To find out if there were any differences in healing between end-to-end and end-to-side anastomoses for oesophagogastrostomy.


METHODS
Open study with historical controls.


METHODS
University hospital, The Netherlands.


METHODS
28 patients with end-to-end and 90 patients with end-to-side anastomoses after transhiatal oesophagectomy and partial gastrectomy for cancer of the oesophagus or oesophagogastric junction, with gastric tube reconstruction and cervical anastomosis.


METHODS
Leak and stricture rates, and the number of dilatations needed to relieve dysphagia.


RESULTS
There were no significant differences in leak rates (end-to-end 4/28, 14%, and end-to-side 13/90, 14%) or anastomotic strictures (end-to-end 9/28, 32%, and end-to-side 26/90, 29%). The median number of dilatations needed to relieve dysphagia was 7 (1-33) after end-to-end and 9 (1-113) after end-to-side oesophagogastrostomy.


CONCLUSIONS
There were no differences between the two methods of suture of cervical oesophagogastrostomy when leakage, stricture, and number of dilatations were used as criteria of good healing.
Pierie
J P
JP
Department of Surgery, University Hospital Utrecht, Netherlands.
De Graaf
P W
PW
Poen
H
H
Van Der Tweel
I
I
Obertop
H
H
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000379:methods; D004938:Esophageal Neoplasms / Q000601:surgery; D004943:Esophagogastric Junction; D004946:Esophagostomy / Q000379:methods*; D005260:Female; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013536:Suture Techniques; D014945:Wound Healing