Author/Authors :
Kalantar Motamedi, M.R Shahid Beheshti University of Medical Sciences , Saberi, A Shohada-e-Tajrish Medical Center - Ghods Square - Tehran , Khajooei Kermani, H Shohada-e-Tajrish Medical Center - Shahid Beheshti University of Medical Sciences , Aminseresht, M Shohada-e-Tajrish Medical Center - Shahid Beheshti University of Medical Sciences , Kavyani, A Shohada-e-Tajrish Medical Center - Shahid Beheshti University of Medical Sciences , Talebian, M Shohada-e-Tajrish Medical Center - Shahid Beheshti University of Medical Sciences , Akbari, M Shohada-e-Tajrish Medical Center - Shahid Beheshti University of Medical Sciences
Abstract :
Background: 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.
Methods: 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.
Results: 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%).
Conclusion: 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.
Keywords :
total gastrectomy , alimentary tract reconstruction , esophagojejunostomy , dysphagia
