Cervical Esophago-Enteric Anastomosis with Straight Endostapler.
- Author:
Il Hyun KIM
1
;
Kwang Taik KIM
;
Sung Min PARK
;
Sung Yeoll LEE
;
Man Jong BAEK
;
Kyung SUN
;
Hyoung Mook KIM
;
In Sung LEE
Author Information
1. Department of Thoracic and Cadiovascular Surgery, Anam hospital, Collage of Medicine, Korea University. ktkim@kuccn.korea.ac.kr
- Publication Type:Original Article
- Keywords:
Esophageal disease;
Esophageal reconstruction;
Surgical stapler
- MeSH:
Constriction, Pathologic;
Deglutition Disorders;
Esophageal Diseases;
Follow-Up Studies;
Humans;
Incidence;
Surgical Staplers;
Sutures
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1999;32(10):924-929
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: The use of the stapler n esophageal reconstruction after esophageal resection for benign or malignant esophageal diseases has become popular because it has less leakage at the anastomotic site and shorter operation time than manual sutures. However, the use of classic circular stapler has some complications such as stenosis and dysphagia that requires additional treatment. Such complications are closely related to the inner diameter of the anastomotic sites. In this study, the diameter of anastomotic site was compared after the use of circular stapler(EEA) and straight endoscopic stapler(endo GIA). MATERIAL AND METHOD: The patients who received esophageal reconstruction by stapler from August 1995 to September 1997 were reviewed. The patients were divided into 2 groups. One group need the circular stapler, and the other group the straight endo GIA(14 cases with endo GIA 30mm, 24 with endo GIA 45mm). After a cervical esophago-enteric anastomosis, the stricture of anastomotic site and the incidence of dysphagia were compared between the 2 groups using an esophagography and the patient's symptoms. The follow-up period was 12months in average. RESULT: In the former group in which the circular stapler was used, 2 cases of anastomotic stenosis were reported. In comparison, none were reported in the latter group. Dysphagia were reported in 8 cases of the former group, and in 3 cases of the latter group(1 case in endo GIA 30 mm, 2 cases in endo GIA 45 mm). CONCLUSION: The use of endo GIA in esophago-enteric anastomosis resulted in a wider diameter of the anastomotic site, lesser stricture, and lesser incidence of dysphagia compared to the use of former circular stapler. Therefore, it is thought to be a better method in esophageal reconstructions.
