title: Preventing and localizing esophagogastric anastomosis leakage by sleeve-wrapping of the pedicled omentum.
abstract: OBJECTIVE
  To develop a technique of sleeve-wrapping the pedicled omentum around the esophagogastric anastomosis for preventing and localizing leakage.
  
  
  METHODS
  This study includes data from 86 patients who were diagnosed with esophageal cancer and underwent the technique of sleeve-wrapping the pedicled omentum around esophagogastric anastomosis after esophagectomy between November 2011 and July 2013. The early complications that occurred during follow-up were analyzed.
  
  
  RESULTS
  Postoperative complications included pulmonary complications (13/86; 15.1%) and abdominal or thoracic wound infection (3/86; 3.5%). Complications that occurred during follow-up included one case of anastomosis leakage (limited by omentum; 1.2%) and five case of anastomosis stricture (5.8%). No deaths occurred. All complications were resolved through traditional treatment. No additional surgery was needed.
  
  
  CONCLUSIONS
  Sleeve-wrapping of the pedicled omentum around esophagogastric anastomosis after esophagectomy is safe and effective for preventing and localizing anastomosis leakage without increasing anastomosis stricture.
authors.affiliation: Quan-Xing Liu, Xu-Feng Deng, Bing Hou, Jia-Xin Min, Ji-Gang Dai, Department of Thoracic Surgery, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, China.
authors.forename: Quan-Xing
authors.initials: QX
authors.lastname: Liu
authors.affiliation: Quan-Xing Liu, Xu-Feng Deng, Bing Hou, Jia-Xin Min, Ji-Gang Dai, Department of Thoracic Surgery, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, China.
authors.forename: Xu-Feng
authors.initials: XF
authors.lastname: Deng
authors.affiliation: Quan-Xing Liu, Xu-Feng Deng, Bing Hou, Jia-Xin Min, Ji-Gang Dai, Department of Thoracic Surgery, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, China.
authors.forename: Bing
authors.initials: B
authors.lastname: Hou
authors.affiliation: Quan-Xing Liu, Xu-Feng Deng, Bing Hou, Jia-Xin Min, Ji-Gang Dai, Department of Thoracic Surgery, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, China.
authors.forename: Jia-Xin
authors.initials: JX
authors.lastname: Min
authors.affiliation: Quan-Xing Liu, Xu-Feng Deng, Bing Hou, Jia-Xin Min, Ji-Gang Dai, Department of Thoracic Surgery, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, China.
authors.forename: Ji-Gang
authors.initials: JG
authors.lastname: Dai
mesh_terms: D000368:Aged; D057868:Anastomotic Leak / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*; D016099:Endoscopy, Gastrointestinal; D004938:Esophageal Neoplasms / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods*; D004946:Esophagostomy / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009852:Omentum / Q000601:surgery*; D013524:Surgical Flaps; D013997:Time Factors; D016896:Treatment Outcome
keywords: Anastomotic leakage; Esophageal cancer; Esophagectomy; Esophagogastrostomy; Pedicled omentum