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. 1983 Aug;198(2):134–136. doi: 10.1097/00000658-198308000-00003

Three years' experience with esophageal stapling device.

P R Behl, M P Holden, A H Brown
PMCID: PMC1353068  PMID: 6870368

Abstract

The authors report their experience with forty patients undergoing resection of middle and lower thirds carcinomas of the esophagus or proximal stomach, with esophagogastric or esophagojejunal anastomosis using an end-to-end anastomosis (EEA) stapler. A fatal anastomotic leak occurred in the first two patients and seven other patients died in the early postoperative period from respiratory and cardiovascular complications. Four other patients developed fibrotic strictures between 6 and 24 months after their operation. The strictures were easily dilated and did not recur. The use of an EEA stapler is recommended because it reduces the operating time, the incidence of anastomotic leaks, and probably the blood loss. The majority of anastomoses can be accomplished exclusively through the left chest by using the stapler.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Chassin J. L. Esophagogastrectomy: data favoring end-to-side anastomosis. Ann Surg. 1978 Jul;188(1):22–27. doi: 10.1097/00000658-197807000-00003. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Collis L. H. Surgical treatment of carcinoma of the oesophagus and cardia. Br J Surg. 1971 Oct;58(10):801–804. doi: 10.1002/bjs.1800581025. [DOI] [PubMed] [Google Scholar]
  3. Dorsey J. S., Esses S., Goldberg M., Stone R. Esophagogastrectomy using the auto suture EEA surgical stapling instrument. Ann Thorac Surg. 1980 Oct;30(4):308–312. doi: 10.1016/s0003-4975(10)61266-0. [DOI] [PubMed] [Google Scholar]
  4. Drucker M. H., Mansour K. A., Hatcher C. R., Jr, Symbas P. N. Esophageal carcinoma: an aggressive approach. Ann Thorac Surg. 1979 Aug;28(2):133–138. doi: 10.1016/s0003-4975(10)63770-8. [DOI] [PubMed] [Google Scholar]
  5. Ellis F. H., Jr, Gibb S. P. Esophagogastrectomy for carcinoma: current hospital mortality and morbidity rates. Ann Surg. 1979 Dec;190(6):699–705. doi: 10.1097/00000658-197912000-00005. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Fekete F., Breil P., Ronsse H., Tossen J. C., Langonnet F. EEA stapler and omental graft in esophagogastrectomy: experience with 30 intrathoracic anastomoses for cancer. Ann Surg. 1981 Jun;193(6):825–830. doi: 10.1097/00000658-198106000-00019. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Griffith J. L., Davis J. T. A twenty-year experience with surgical management of carcinoma of the esophagus and gastric cardia. J Thorac Cardiovasc Surg. 1980 Mar;79(3):447–452. [PubMed] [Google Scholar]
  8. Molina J. E., Lawton B. R., Avance D. Use of circumferential stapler in reconstruction following resections for carcinoma of the cardia. Ann Thorac Surg. 1981 Apr;31(4):325–328. doi: 10.1016/s0003-4975(10)60959-9. [DOI] [PubMed] [Google Scholar]
  9. Ravitch M. M., Steichen F. M. A stapling instrument for end-to-end inverting anastomoses in the gastrointestinal tract. Ann Surg. 1979 Jun;189(6):791–797. doi: 10.1097/00000658-197906000-00017. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Schuchmann G. F., Heydorn W. H., Hall R. V., Carter S. C., Gillespie J. T., Grishkin B. A., James E. C. Treatment of esophageal carcinoma: a retrospective review. J Thorac Cardiovasc Surg. 1980 Jan;79(1):67–73. [PubMed] [Google Scholar]
  11. Wong J. Management of carcinoma of oesophagus: art or science? J R Coll Surg Edinb. 1981 May;26(3):138–149. [PubMed] [Google Scholar]

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