HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Berrisford, R. G. Articles by Donnelly, R. J. Search for Related Content PubMed PubMed Citation Articles by Berrisford, R. G. Articles by Donnelly, R. J.

J Thorac Cardiovasc Surg 1996;111:142-146
© 1996 Mosby, Inc.

GENERAL THORACIC SURGERY

STAPLER DESIGN AND STRICTURES AT THE ESOPHAGOGASTRIC ANASTOMOSIS

Liverpool, England

From the Cardiothoracic Centre, Liverpool, England.

Received for publication July 25, 1994. Accepted for publication May 10, 1995. Address for reprints: R. G. Berrisford, BSc, ChM, FRCS, Senior Registrar, The Cardiothoracic Centre, Thomas Dr., Liverpool, L14 3PE, England.

Abstract

An apparent reduction in the rate of benign anastomotic stricture after stapled esophagogastrectomy prompted us to review the results obtained with different stapling devices since 1988. We present a retrospective review of 125 consecutive patients undergoing esophageal resection for malignancy with stapled intrathoracic anastomoses. Benign anastomotic stricture was deemed present when a patient required endoscopic dilatation to treat postoperative dysphagia. We found no difference in risk factors not related to stapler size (tumor histologic characteristics, adjuvant therapy) between patients with stricture and patients without stricture. Event-free survival was compared for different stapler diameters as well as for different stapler designs. We found that staplers of smaller diameter were associated with significantly more strictures (p< 0.005). In a comparison of different designs of 25 mm stapler, the newer CDH device (Ethicon Ltd., Edinburgh, United Kingdom) was associated with a similar stricture rate to that associated with other designs (ILP [Ethicon] and EEA [Autosuture Company Division, United States Surgical Corp., Norwalk, Conn.]). For a given stapler diameter, it appears that different stapler designs have no effect on stricture rate. (J THORACCARDIOVASCSURG1996;111:142-6)

This article has been cited by other articles:

				S. H. Blackmon, A. M. Correa, B. Wynn, W. L. Hofstetter, L. W. Martin, R. J. Mehran, D. C. Rice, S. G. Swisher, G. L. Walsh, J. A. Roth, et al. Propensity-Matched Analysis of Three Techniques for Intrathoracic Esophagogastric Anastomosis Ann. Thorac. Surg., May 1, 2007; 83(5): 1805 - 1813. [Abstract] [Full Text] [PDF]