Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1386
8
1
gregorian
2007
11
1
21
3
online
1
fulltext
en
End-to-end esophagojejunostomy versus standard end-to-side esophagojejunostomy: which one is preferable?
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