Preventing and localizing esophagogastric anastomosis leakage by sleeve-wrapping of the pedicled omentum

AIM:To develop a technique of sleeve-wrapping thepedicled omentum around the esophagogastric anastomosis for preventing and localizing leakage.METHODS:This study includes data from 86 patientswho were diagnosed with esophageal cancer and underwent the technique of sleeve-wrapping the pedicledomentum...

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Published in:World journal of gastroenterology : WJG 2014-11, Vol.20 (43), p.16282-16286
Main Authors: Liu, Quan-Xing, Deng, Xu-Feng, Hou, Bing, Min, Jia-Xin, Dai, Ji-Gang
Format: Article
Language:English
Subjects:
Aged
Anastomotic
Anastomotic Leak - diagnosis
Anastomotic Leak - etiology
Anastomotic Leak - prevention & control
cancer
Clinical Trials Study
Endoscopy, Gastrointestinal
Esophageal
Esophageal Neoplasms - surgery
Esophagectom
Esophagectomy - methods
Esophagostomy - adverse effects
Esophagostomy - methods
Female
Gastrostomy - methods
Humans
leakage
Male
Middle Aged
Omentum - surgery
Surgical Flaps
Time Factors
Treatment Outcome
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Summary:AIM:To develop a technique of sleeve-wrapping thepedicled omentum around the esophagogastric anastomosis for preventing and localizing leakage.METHODS:This study includes data from 86 patientswho were diagnosed with esophageal cancer and underwent the technique of sleeve-wrapping the pedicledomentum around esophagogastric anastomosis afteresophagectomy between November 2011 and July 2013.The early complications that occurred during follow-upwere analyzed.RESULTS:Postoperative complications included pulmonary complications(13/86;15.1%)and abdominal orthoracic wound infection(3/86;3.5%).Complicationsthat occurred during follow-up included one case ofanastomosis leakage(limited by omentum;1.2%)andfive case of anastomosis stricture(5.8%).No deathsoccurred.All complications were resolved through traditional treatment.No additional surgery was needed.CONCLUSION:Sleeve-wrapping of the pedicled omentum around esophagogastric anastomosis after esophagectomy is safe and effective for preventing and localizing anastomosis leakage without increasing anastomosis stricture.
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.v20.i43.16282