en Surgery Surgery Original Research Original Research <p> <strong>Abstract</strong></p><p> <strong>Background: </strong>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.</p><p> <strong>Methods: </strong>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.</p><p> <strong>Results:</strong> 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%).</p><p> <strong>Conclusion:</strong> 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.</p> total gastrectomy, alimentary tract reconstruction, esophagojejunostomy, dysphagia 151 153 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-179&slc_lang=en&sid=1 M.R. Kalantar Motamedi 20031947532846002183 20031947532846002183 No Shohada-e-Tajrish Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. A. Saberi saberikourosh@yahoo.com 20031947532846002184 20031947532846002184 Yes Shohada-e-Tajrish Medical Center, Ghods Square, Tehran, Iran H. Khajooei Kermani 20031947532846002185 20031947532846002185 No Shohada-e-Tajrish Medical Center, Shahid Beheshti University of Medical Sciences M. Aminseresht 20031947532846002186 20031947532846002186 No Shohada-e-Tajrish Medical Center, Shahid Beheshti University of Medical Sciences A. Kavyani 20031947532846002187 20031947532846002187 No Shohada-e-Tajrish Medical Center, Shahid Beheshti University of Medical Sciences M. Talebian 20031947532846002188 20031947532846002188 No Shohada-e-Tajrish Medical Center, Shahid Beheshti University of Medical Sciences M. Akbari 20031947532846002189 20031947532846002189 No Shohada-e-Tajrish Medical Center, Shahid Beheshti University of Medical Sciences