%0 Journal Article
%T Cervical esophagogastric anastomosis with invagination after esophagectomy
%A Henriques
%A Alexandre Cruz
%A Fuhro
%A Felipe Emanuel
%A Godinho
%A Carlos Alberto
%A Campos
%A Andre Luiz Lopes Cardoso
%A Waisberg
%A Jaques
%J Acta Cirurgica Brasileira
%D 2012
%I Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia
%R 10.1590/S0102-86502012000500011
%X purpose: to evaluate the incidence of fistula and stenosis of the cervical esophagogastric anastomosis with invagination of the proximal esophageal stump into the stomach after subtotal esophagectomy. methods: we studied 54 patients who underwent subtotal esophagectomy, 45 (83.3%) patients with carcinoma and nine (16.6%) with advanced megaesophagus. in all cases the cervical esophagogastric anastomosis was performed with the invagination of the proximal esophageal stump inside the stomach. results: three (5.5%) patients had a fistula at the esophagogastric anastomosis, two of whom with minimal leakage of air or saliva and with mild clinical repercussion; the third had a low output fistula that drained into the pleural space, and this patient developed empyema that showed good progress with drainage. fibrotic stenosis of anastomosis occurred in thirteen (24%) subjects and was treated successfully with endoscopic dilatation. conclusion: cervical esophagogastric anastomosis with invagination of the proximal esophageal stump into the stomach tube presented a low rate of esophagogastric fistula and stenosis, thus becoming an attractive option for the reconstruction of alimentary transit after subtotal esophagectomy.
%K esophagus
%K esophagectomy
%K constriction
%K pathologic
%K anastomotic leak
%K gastroplasty.
%U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S0102-86502012000500011&lng=en&nrm=iso&tlng=en