Circular stapling anastomosis (EEA) following gastrectomy
Junginger, T.; Walgenbach, S.; Pichlmaier, H.
Der Chirurg; Zeitschrift für Alle Gebiete der Operativen Medizen 54(3): 161-165
1983
ISSN/ISBN: 0009-4722 PMID: 6861566 Document Number: 5087
After total gastrectomy because of gastric malignancies 31 oesophagojejunostomies performed in end-to-side fashion using a standard manual technique were compared with oesophagojejunostomies performed in end-to-end fashion by mechanical stapling (EEA). After manual suturing there was a leak in 29% and 25.8% out of all patients died. After automatic mechanical suturing anastomotic failure was seen in 12.9% with a postmortality rate of 3.2%. These results show, that by mechanical stapling a secure oesophagojejunostomy is possible and the risk of gastrectomy can be reduced.
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