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

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

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:   (4248 Views)


 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.

Full-Text [PDF 71 kb]   (1105 Downloads)    
Type of Study: Original Research | Subject: Surgery

Add your comments about this article : Your username or Email:
Write the security code in the box

Send email to the article author