Open AccessImpact of fundus rotation gastroplasty on anastomotic complications after cervical and thoracic oesophagogastrostomies: a prospective non‐randomised study
Author(s) -
Schilling Martin K.,
Eichenberger Martin,
Wagener Veronika,
Stoupis Christoph,
Büchler Markus W.
Publication year - 2001
Publication title -
european journal of surgery
Language(s) - English
Resource type - Journals
eISSN - 1741-9271
pISSN - 1102-4151
DOI - 10.1080/110241501750070556
Subject(s) - medicine , anastomosis , fundus (uterus) , surgery , thorax (insect anatomy) , leak , prospective cohort study , gastric fundus , stomach , anatomy , environmental engineering , engineering
Abstract Objective: To find out the leak rate after cervical or thoracic anastomoses of oesophagus to fundus rotation gastric tubes after oesophagectomy. Design: Prospective non‐randomised study. Setting: University hospital, Switzerland. Subjects: 95 patients, of whom 62 had cervical and 33 thoracic anastomoses. Interventions: Anastomoses were hand sewn in two layers between oesophagus and a gastric tube, that was elongated by 30% by a stapled fundus rotation gastroplasty. Anastomotic patency was studied clinically and radiographically between the 5th and 7th postoperative days. Results: Five of the 62 patients had a clinical or radiological anastomotic leak (8%) in the neck and 2 of the 33 patients in the thorax (6%). Six patients died, one death being the result of a leak. Conclusion: Length and blood supply of fundus rotation gastroplasty tubes allows for safe anastomoses at thoracic and cervical levels. Copyright © 2001 Taylor and Francis Ltd.