Volume 21, Issue 3 (11-2007)                   Med J Islam Repub Iran 2007 | Back to browse issues page


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Kalantar Motamedi M, Saberi A, Khajooei Kermani H, Aminseresht M, Kavyani A, Talebian M et al . End-to-end esophagojejunostomy versus standard end-to-side esophagojejunostomy: which one is preferable?. Med J Islam Repub Iran. 2007; 21 (3) :151-153
URL: http://mjiri.iums.ac.ir/article-1-328-en.html

Resident of General Surgery Shohada-e-Tajrish Medical Center, Ghods Square, Tehran, Iran , saberikourosh@yahoo.com
Abstract:   (3852 Views)

 Abstract

 Background: End-to-side esophagojejunostomy has almost always been associated with some degree of dysphagia. To overcome this complication we decided to perform an end-to-end anastomosis and compare it with end-to-side Roux-en-Y esophagojejunostomy.

 Methods: In this prospective study, between 1998 and 2005, 71 patients with a diagnosis of gastric adenocarcinoma underwent total gastrectomy. Standard esophagojejunostomy with an end-to-side fashion was performed in 41 patients and compared with our recommended technique of end-to-end esophagojejunostomy in 30 patients.

 Results: This study showed that esophagojejunostomy with an end-to-end fashion has a low incidence of postoperative dysphagia (33.3%), whereas in those with an endto- side anastomosis the rate of ysphagia is very high (83%).

 Conclusion: A Roux-en-Y esophagojejunostomy with an end-to-end anastomosis has a low incidence of postoperative dysphagia and we strongly recommend using this technique.

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Type of Study: Original Research | Subject: Surgery

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