OBJECTIVE: To find out if there were any differences in healing between end-to-end and end-to-side anastomoses for oesophagogastrostomy. DESIGN: Open study with historical controls. SETTING: University hospital, The Netherlands. SUBJECTS: 28 patients with end-to-end and 90 patients with end-to-side anastomoses after transhiatal oesophagectomy and partial gastrectomy for cancer of the oesophagus or oesophagogastric junction, with gastric tube reconstruction and cervical anastomosis. MAIN OUTCOME MEASURES: Leak and stricture rates, and the number of dilatations needed to relieve dysphagia. RESULTS: There were no significant differences in leak rates (end-to-end 4/28, 14%, and end-to-side 13/90, 14%) or anastomotic strictures (end-to-end 9/28, 32%, and end-to-side 26/90, 29%). The median number of dilatations needed to relieve dysphagia was 7 (1-33) after end-to-end and 9 (1-113) after end-to-side oesophagogastrostomy. CONCLUSION: There were no differences between the two methods of suture of cervical oesophagogastrostomy when leakage, stricture, and number of dilatations were used as criteria of good healing.
OBJECTIVE: To find out if there were any differences in healing between end-to-end and end-to-side anastomoses for oesophagogastrostomy. DESIGN: Open study with historical controls. SETTING: University hospital, The Netherlands. SUBJECTS: 28 patients with end-to-end and 90 patients with end-to-side anastomoses after transhiatal oesophagectomy and partial gastrectomy for cancer of the oesophagus or oesophagogastric junction, with gastric tube reconstruction and cervical anastomosis. MAIN OUTCOME MEASURES: Leak and stricture rates, and the number of dilatations needed to relieve dysphagia. RESULTS: There were no significant differences in leak rates (end-to-end 4/28, 14%, and end-to-side 13/90, 14%) or anastomotic strictures (end-to-end 9/28, 32%, and end-to-side 26/90, 29%). The median number of dilatations needed to relieve dysphagia was 7 (1-33) after end-to-end and 9 (1-113) after end-to-side oesophagogastrostomy. CONCLUSION: There were no differences between the two methods of suture of cervical oesophagogastrostomy when leakage, stricture, and number of dilatations were used as criteria of good healing.
Authors: Leonie Haverkamp; Pieter C van der Sluis; Roy J J Verhage; Peter D Siersema; Jelle P Ruurda; Richard van Hillegersberg Journal: J Gastrointest Surg Date: 2013-02-12 Impact factor: 3.452