Decreasing complication rates with stapled esophagojejunostomy following a learning curve.
Minimum leakage rate (0.5%) of stapled esophagojejunostomy with sacrifice of a small part of the jejunum after total gastrectomy in 390 consecutive patients.
With this procedure, an esophagojejunostomy (EJS) is performed as with the R-Y technique, and duodenojejunostomy is added about 20 cm distal from the EJS.9 At our hospital, most surgeons prefer to perform a standard R-Y reconstruction with a circular stapler used for the EJS, while the DT reconstruction is becoming more and more a part of standard surgical practice.
Age, gender, T stage, AJCC stage, comorbidities, length of operation, BMI (body mass index, kg/m2), time to soft diet, postoperative leakage of the esophagojejunostomy (EJS), stricture of the EJS, meal intake, as well as the quality of life (QOL) were recorded.
(EEJ) in LTG is similar to conventional esophagojejunostomy
Ishida et al., "Overlap method: novel intracorporeal esophagojejunostomy
after laparoscopic total gastrectomy," Journal of the American College of Surgeons, vol.
Using Circular-Stapled Anastomosis.
She had a past surgical history of gastric stapling procedures in 1976 and in 1977, multiple abdominal surgeries for small bowel obstruction, and a total gastrectomy with esophagojejunostomy
due to impaired gastric emptying.
A 100-mm long Hanarostent[R] Esophagus Benign BS (CCC) (EBN22080-Z070) stent was used for complications with esophagojejunostomy
anastomosis after gastric cancer surgery.
Over the next 7 hours, the mass was completely resected with a total gastrectomy, esophagojejunostomy
and feeding jejunostomy, distal pancreatectomy, and splenectomy.
A total gastrectomy was carried out following with an esophagojejunostomy
. Proximal and distal resection margins were evaluated in operation toconfirm freedom from tumor.
Ozenc, "Antegrade jejunojejunal intussusception after roux-en-Y esophagojejunostomy
as an unusual cause of postoperative intestinal obstruction: report of a case," Surgery Today, vol.