A double stapled technique for oesophago-enteric anastomosis.
OBJECTIVE
Leakage from oesophageal anastomosis is associated with substantial morbidity and mortality. This study presented a novel, safe and effective double stapled technique for oesophago-enteric anastomosis.


METHODS
The data were obtained prospectively from hospital held clinical database. Thirty nine patients (26 males, 13 females) underwent upper-gastrointestinal resection between 1996 and 2000 for carcinoma (n = 36), gastric lymphoma (n = 1), and benign pathology (n = 2). Double stapled oesophago-enteric anastomosis was performed in all cases.


RESULTS
No anastomotic leak was reported. In cases of malignancy, the resected margins were free of neoplasm. Three deaths occurred, which were not related to anastomotic complications.


CONCLUSIONS
Even though the reported study is an uncontrolled one, the technique described is reliable, and effective for oesophago-enteric anastomosis.
Kotru
A
A
Department of Surgery, Airedale General Hospital, Keighly, UK.
John
A-K
AK
Dewar
E-P
EP
D000714:Anastomosis, Surgical / Q000295:instrumentation / Q000379:methods*; D004947:Esophagus / Q000098:blood supply / Q000601:surgery*; D005260:Female; D006801:Humans; D008223:Lymphoma / Q000601:surgery*; D008297:Male; D011446:Prospective Studies; D013270:Stomach / Q000601:surgery; D013274:Stomach Neoplasms / Q000601:surgery*; D013537:Sutures; D016896:Treatment Outcome; D014945:Wound Healing