The effect of disc-shaped gastric resection of anastomosis site on reducing postoperative dysphagia and stricture after esophagogastric anastomosis in patients with esophageal cancer

作     者：Rahim Mahmodlou Kamran Shateri Faramarz Homayooni Sanaz Hatami 

作者机构：Department of SurgeryUrmia University of Medical SciencesUrmiaIran Department of GastroenterologyUrmia University of Medical SciencesUrmiaIran Students’Research CommitteeUrmia University of Medical SciencesUrmiaIran 

出 版 物：《Gastroenterology Report》 (胃肠病学报道（英文）)

年 卷 期：2017年第5卷第1期

页      面：52-56,I0002页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

基　　金：Urmia University of Medical Sciences 

主　　题：esophageal cancer esophagectomy esophagogastic anastomosis postoperative complications 

摘      要：Background:Esophagectomy remains the most reliable technique for managing esophageal cancer,but anastomotic complications including postoperative leak,ischemia and stricture negatively affect outcomes of this specific *** aim of this study was to evaluate the effects of a novel method of esophagogastric anastomosis for reducing postoperative dysphagia and stricture ***:Eighty patients who were scheduled for esophagectomy due to esophageal cancer were randomly assigned into two groups:intervention and control(40 each).In the control group,the esophagogastric anastomosis was performed with a linear gastric incision,whilst in the intervention group a new method of disc-shaped gastric resection for anastomosis was *** outcomes were compared between the two ***:The incidence of postoperative dysphagia and anastomotic stricture was significantly lower in the disc-shaped resection group(dysphagia 45%vs 75%,P=0.02;stricture 12.5%vs 32.5%,P=0.03),whilst the length of stay in an intensive care unit(ICU),anastomotic leakage and other complications were not significantly different between the two groups(all P0.05).Conclusion:Anastomotic complications can be reduced by improving surgical *** decreased incidence of postoperative dysphagia and anastomotic stricture in our study may be partly due to providing the proper diameter for the site of anastomosis when using the disc-shaped gastric resection ***,this new method can improve the clinical outcomes of patients who undergo esophagectomy with esophagogastric anastomosis.