Impact of fundus rotation gastroplasty on anastomotic complications after cervical and thoracic oesophagogastrostomies: a prospective non-randomised study.
OBJECTIVE
To find out the leak rate after cervical or thoracic anastomoses of oesophagus to fundus rotation gastric tubes after oesophagectomy.


METHODS
Prospective non-randomised study.


METHODS
University hospital. Switzerland.


METHODS
95 patients, of whom 62 had cervical and 33 thoracic anastomoses.


METHODS
Anastomoses were hand sewn in two layers between oesophagus and a gastric tube, that was elongated by 30% by a stapled fundus rotation gastroplasty. Anastomotic patency was studied clinically and radiographically between the 5th and 7th postoperative days.


RESULTS
Five of the 62 patients had a clinical or radiological anastomotic leak (8%) in the neck and 2 of the 33 patients in the thorax (6%). Six patients died, one death being the result of a leak.


CONCLUSIONS
Length and blood supply of fundus rotation gastroplasty tubes allows for safe anastomoses at thoracic and cervical levels.
Department for Visceral and Transplantation Surgery, University of Bern, Inselspital, Switzerland.
M K
MK
Schilling
M
M
Eichenberger
V
V
Wagener
C
C
Stoupis
M W
MW
Büchler
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000379:methods; D004938:Esophageal Neoplasms / Q000601:surgery; D016629:Esophagectomy / Q000009:adverse effects / Q000379:methods; D004947:Esophagus / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005748:Gastric Fundus / Q000601:surgery*; D015391:Gastroplasty / Q000009:adverse effects* / Q000379:methods; D005774:Gastrostomy / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology*; D011336:Probability; D011446:Prospective Studies; D018570:Risk Assessment