[Anastomotic stenoses correlated with the use of mechanical staplers in the surgery of esophageal cancer].
From 1990 to 1995, 187 patients underwent esophagectomy and esophagogastrostomy with the anastomosis performed inside the chest using a circular stapler. Twenty-three patients (12.3%) developed an anastomotic stricture. The incidence of anastomotic stricture was inversely related to the diameter of the stapler. Also concomitant cardiovascular diseases, morpho-functional disorders of the tubulized stomach (possible related to duodeno-gastric reflux) and neoadjuvant chemotherapy were recognized as significant risks factors. Endoscopic dilations were safe and effective in the treatment of anastomotic strictures.
Petrin
G
G
Clinica Chirurgica Generale IV, Università degli Studi di Padova.
Ruol
A
A
Santi
S
S
Renier
M
M
Buin
F
F
Anselmino
M
M
Cagol
M
M
Ancona
E
E
D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000706:statistics & numerical data; D002921:Cicatrix / Q000453:epidemiology / Q000209:etiology; D004938:Esophageal Neoplasms / Q000150:complications / Q000601:surgery*; D004940:Esophageal Stenosis / Q000453:epidemiology / Q000209:etiology*; D004947:Esophagus / Q000098:blood supply; D005260:Female; D006801:Humans; D015994:Incidence; D007511:Ischemia / Q000453:epidemiology / Q000209:etiology; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology*; D012307:Risk Factors; D013528:Surgical Staplers / Q000009:adverse effects* / Q000706:statistics & numerical data
Le stenosi anastomotiche correlate all'uso delle suturatrici meccaniche nella chirurgia del cancro dell'esofago.