Impact of fundus rotation gastroplasty on anastomotic complications after cervical and thoracic oesophagogastrostomies: a prospective non-randomised study

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 anastom...

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Bibliographic Details
Published in:The European journal of surgery 2001-02, Vol.167 (2), p.110-114
Main Authors: Schilling, Martin K., Eichenberger, Martin, Wagener, Veronika, Stoupis, Christoph, Büchler, Markus W.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Analysis of Variance
Anastomosis, Surgical - adverse effects
Anastomosis, Surgical - methods
Biological and medical sciences
Esophageal Neoplasms - surgery
Esophagectomy - adverse effects
Esophagectomy - methods
Esophagus
Esophagus - surgery
Female
Follow-Up Studies
fundus rotation gastroplasty
Gastric Fundus - surgery
Gastroenterology. Liver. Pancreas. Abdomen
Gastroplasty - adverse effects
Gastroplasty - methods
Gastrostomy - adverse effects
Gastrostomy - methods
Humans
Incidence
Male
Medical sciences
Middle Aged
oesophageal leakage
Other diseases. Semiology
Postoperative Complications - epidemiology
Probability
Prospective Studies
Risk Assessment
surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
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Summary: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.
ISSN:1102-4151
1741-9271
DOI:10.1080/110241501750070556