Reestablishment of digestive continuity after radical surgery for severe esophagojejunostomic leakage is a major challenge associated with high morbidity and uncertain feasibility. In this case report we describe a conservative double exclusion technique involving cervical stapling and loop jejunostomy. This technique greatly simplifies subsequent reconstruction and is suitable in most cases.
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Intraoperatively Testing the Anastomotic Integrity of Esophagojejunostomy Using Methylene Blue.
Scand J Surg
March 2017
1 Department of General Surgery, Faculty of Medicine, Yuzuncu Yıl University, Van, Turkey.
Background: Intraoperative testing of gastrointestinal anastomosis effectively ensures anastomotic integrity. This study investigated whether the routine use of methylene blue intraoperatively identified leaks to reduce the postoperative proportion of clinical leaks.
Methods: This study retrospectively analyzed consecutive total gastrectomies performed from January 2007 to December 2014 in a university hospital setting by a general surgical group that exclusively used the methylene blue test.
Treatment of esophagojejunostomic leakage by cervical stapling and loop jejunostomy.
Hepatogastroenterology
October 2003
Department of Surgery and Liver Transplantation, Hôpital de La Conception, 147 Boulevard Baille, 13385 Marseille, France.
Reestablishment of digestive continuity after radical surgery for severe esophagojejunostomic leakage is a major challenge associated with high morbidity and uncertain feasibility. In this case report we describe a conservative double exclusion technique involving cervical stapling and loop jejunostomy. This technique greatly simplifies subsequent reconstruction and is suitable in most cases.
View Article and Find Full Text PDFStapled or manual suturing in esophagojejunostomy after total gastrectomy: a comparison of outcome in 379 patients.
Am J Surg
September 1991
First Department of Surgery, School of Medicine, Chiba University, Japan.
From January 1983 to December 1989, we performed esophagojejunostomy on 379 patients who underwent total gastrectomy for gastric cancer. A mechanical EEA stapler or conventional manual suturing was used. The clinical outcomes of 199 patients in whom stapling was used (stapler group) and 180 patients in whom manual suturing was done (manual group) were compared.
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