Authors: Hyun Koo Kim Young Ho Choi Jae Hoon Shim Yang Hyun Cho ManJong Baek YoungSang Sohn Hark Jei Kim
Publish Date: 2008/06/14
Volume: 32, Issue: 9, Pages: 2010-
Abstract
The morbidity and mortality of anastomotic complications after esophagectomy have gradually decreased in recent years However swallowing difficulties and reflux continue to burden patients jeopardizing their quality of life In the present study we performed endoscopic evaluation of the outcomes of esophagogastrostomy by analyzing the presence of anastomotic stenosis and reflux esophagitisA retrospective analysis was carried out on 74 patients who underwent esophagogastrostomy after esophagectomy by one surgeon between January 1995 and December 2004 Fiftythree patients had an endoscopic examination during followup 29 ± 236 months range = 5–111 months Reflux esophagitis and stenosis at the anastomostic site were analyzed according to the surgical technique used and the location of the esophagogastrostomyThe mean age at the time of repair was 603 ± 887 range = 39–81 years Cervical anastomosis was performed in 26 patients and intrathoracic anastomosis in 27 patients No significant statistical difference in the frequency of anastomotic stenosis was observed between the two groups p = 0829 reflux esophagitis was noted in three patients in the cervical anastomosis group and in 14 patients in the intrathoracic anastomosis group p = 0041 For all patients 23 received a handsewn esophagogastric anastomosis and 30 a circular stapled one There was no significant statistical difference in anastomotic stenosis p = 0689 and reflux esophagitis p = 0879 in comparisons between the two groups
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