[Mechanical esophago-jejunostomy: a modern trend or progress?].

After comparing our own experience with previous publications in using the American EEA suture gun for esophagojejunostomies it has to be discussed, whether the use of such suturing apparatus in this type of anastomosis is really valuable. After performing 29 mechanical esophagojejunostomies we observed a low suture insufficiency rate: 3.5% (an average rate of 12,6% is found in the available literature). We try to explain this significant difference by the use of special technical procedures, respecting the anatomy of this area.