Risk factors of anastomotic stenosis after esophageal cancer surgery
10.3969/j.issn.1673-9701.2025.23.006
- VernacularTitle:食管癌术后吻合口狭窄的危险因素分析
- Author:
Wenrong YANG
1
;
Aimin LI
;
Lijie YANG
;
Zhonghua LI
;
Zheng SONG
;
Wanchun YANG
;
Jianyuan CHA
Author Information
1. 大理大学第一附属医院胸心外科,云南大理 671000
- Publication Type:Journal Article
- Keywords:
Esophageal cancer;
Anastomotic stenosis;
Risk factors
- From:
China Modern Doctor
2025;63(23):24-27
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the risk factors for postoperative anastomotic stenosis in esophageal cancer patients.Methods A total of 200 patients who underwent radical esophageal cancer resection at the First Affiliated Hospital of Dali University from July 2015 to June 2024 were selected as subjects.The patients were divided into stenosis group(n=100)and non-stenosis group(n=100)based on whether they had benign anastomotic stenosis.Comparative analyses were conducted regarding the first feeding time,surgical duration,use of non-linear anastomotic devices,and anastomotic leakage in both groups.The independent risk factors for benign postoperative anastomotic stenosis were systematically evaluated.Results Delayed initial postoperative feeding,non-linear anastomotic devices,anastomotic leakage,and persistent postoperative hypoxemia were identified as risk factors for anastomotic stenosis in esophageal cancer patients after neck anastomosis.Balloon dilation-induced bleeding and early postoperative feeding within 12h served as protective factors(P＜0.05).Conclusion The development of anastomotic stenosis in esophageal cancer patients following neck anastomosis may be associated with delayed initial feeding,non-linear anastomotic devices,anastomotic leakage,and persistent hypoxemia.
