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Article: Anastomotic leakage following oesophageal reconstruction using whole stomach or distal stomach

TitleAnastomotic leakage following oesophageal reconstruction using whole stomach or distal stomach
Authors
Issue Date1991
Citation
Gullet, 1991, v. 1 n. 3, p. 114-118 How to Cite?
AbstractThe stomach is the preferred organ for reconstruction after resection for carcinoma of the oesophagus and cardia. Leakage of the oesophagogastrostomy remains a main cause of morbidity and mortality after oesophagectomy. Whether the whole stomach (WS) or the distal stomach (DS) is used depends on the site of the carcinoma and any concomitant gastric pathology. Of the 428 patients who underwent resection of oesophageal and cardia carcinoma and who were reconstructed in one-stage with stomach, 17 patients (4%) had an anastomotic leak and 7 of these patients died (41%). The anastomotic leak rate was 5.2% when the distal stomach was used compared to 3.6% when the whole stomach was used, a difference that is not significant. When a stapled anastomosis was fashioned, in the distal stomach group the leakage rate was 10.6% and this was significantly higher than both a stapled anastomosis in the whole stomach group (2.5%) and a hand-sewn anastomosis in the distal stomach group (0%). Neither the nature of the resection nor the level of the anastomosis affected the incidence of leaks in any of the groups. Furthermore, the mortality rates were similar whether the leak occurred in the neck or in the chest in both groups. Attention to technical factors and appropriate selection of the type of anastomosis for oesophagogastrostomy can achieve low anastomotic leak rates after resection for cancer.
Persistent Identifierhttp://hdl.handle.net/10722/172637
ISSN

 

DC FieldValueLanguage
dc.contributor.authorLam, TCFen_HK
dc.contributor.authorFok, Men_HK
dc.contributor.authorCheng, SWKen_HK
dc.contributor.authorWong, Jen_HK
dc.date.accessioned2012-10-30T06:23:56Z-
dc.date.available2012-10-30T06:23:56Z-
dc.date.issued1991en_HK
dc.identifier.citationGullet, 1991, v. 1 n. 3, p. 114-118en_HK
dc.identifier.issn0952-0643en_HK
dc.identifier.urihttp://hdl.handle.net/10722/172637-
dc.description.abstractThe stomach is the preferred organ for reconstruction after resection for carcinoma of the oesophagus and cardia. Leakage of the oesophagogastrostomy remains a main cause of morbidity and mortality after oesophagectomy. Whether the whole stomach (WS) or the distal stomach (DS) is used depends on the site of the carcinoma and any concomitant gastric pathology. Of the 428 patients who underwent resection of oesophageal and cardia carcinoma and who were reconstructed in one-stage with stomach, 17 patients (4%) had an anastomotic leak and 7 of these patients died (41%). The anastomotic leak rate was 5.2% when the distal stomach was used compared to 3.6% when the whole stomach was used, a difference that is not significant. When a stapled anastomosis was fashioned, in the distal stomach group the leakage rate was 10.6% and this was significantly higher than both a stapled anastomosis in the whole stomach group (2.5%) and a hand-sewn anastomosis in the distal stomach group (0%). Neither the nature of the resection nor the level of the anastomosis affected the incidence of leaks in any of the groups. Furthermore, the mortality rates were similar whether the leak occurred in the neck or in the chest in both groups. Attention to technical factors and appropriate selection of the type of anastomosis for oesophagogastrostomy can achieve low anastomotic leak rates after resection for cancer.en_HK
dc.languageengen_US
dc.relation.ispartofGulleten_HK
dc.titleAnastomotic leakage following oesophageal reconstruction using whole stomach or distal stomachen_HK
dc.typeArticleen_HK
dc.identifier.emailCheng, SWK: wkcheng@hkucc.hku.hken_HK
dc.identifier.emailWong, J: jwong@hkucc.hku.hken_HK
dc.identifier.authorityCheng, SWK=rp00374en_HK
dc.identifier.authorityWong, J=rp00322en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.scopuseid_2-s2.0-0025754403en_HK
dc.identifier.volume1en_HK
dc.identifier.issue3en_HK
dc.identifier.spage114en_HK
dc.identifier.epage118en_HK
dc.identifier.scopusauthoridLam, TCF=7202522854en_HK
dc.identifier.scopusauthoridFok, M=7005879262en_HK
dc.identifier.scopusauthoridCheng, SWK=7404684779en_HK
dc.identifier.scopusauthoridWong, J=8049324500en_HK

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