2019
DOI: 10.1590/0102-672020190001e1462
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Comparative Analysis of Late Results of Cervical Esophagogastric Anastomosis by Manual and Mechanical Suture in Patients Submitted to Esophageal Mucosectomy Through Advanced Megaesophagus

Abstract: Background:Among the anastomoses of the gastrointestinal tract, those of the esophagus are of special interest due to several anatomical or even general peculiarities. Aim:Evaluate retrospectively the results comparing mechanical vs. manual suture at cervical esophagogastric anastomosis in megaesophagus treatment. Methods:Were included 92 patients diagnosed with advanced megaesophagus with clinical conditions to undergo the surgery. All underwent esophageal mucosectomy, performing anastomosis of the esophagus … Show more

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(2 citation statements)
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“…With the advent of mechanical sutures to perform anastomoses of the digestive tract, whether in benign or malignant conditions, perhaps this complication could be minimized in patients undergoing salvage esophagectomy. This is because this suture provides a better coaptation of the anastomotic stumps as it is double and inverted [48,49].…”
Section: Esophago-visceral Anastomosis Dehiscencementioning
confidence: 99%
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“…With the advent of mechanical sutures to perform anastomoses of the digestive tract, whether in benign or malignant conditions, perhaps this complication could be minimized in patients undergoing salvage esophagectomy. This is because this suture provides a better coaptation of the anastomotic stumps as it is double and inverted [48,49].…”
Section: Esophago-visceral Anastomosis Dehiscencementioning
confidence: 99%
“…The management for the treatment of this complication is based on the severity of the dehiscence. If severe, early and in the thoracic region and with hemodynamic undermining, aggressive surgical intervention is mandatory; however, if this complication occurs later, usually after the fifth postoperative day and in the cervical region, the conduct may be more conservative, with drainage of the cervical region at the bedside [43,45,48,49]. However, conservative management of this complication after salvage esophagectomy can often be unsuccessful if the tissue bed at the level of the anastomosis has been irradiated [18,21,29].…”
Section: Esophago-visceral Anastomosis Dehiscencementioning
confidence: 99%