Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/13488
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dc.contributor.authorBird, Pen
dc.contributor.authorDaniel, Freddy Jen
dc.contributor.authorMacLellan, Den
dc.date.accessioned2015-05-16T03:21:18Z
dc.date.available2015-05-16T03:21:18Z
dc.date.issued1996-11-01en
dc.identifier.citationAustralian and New Zealand Journal of Surgery; 66(11): 757-63en
dc.identifier.govdoc8918385en
dc.identifier.otherPUBMEDen
dc.identifier.urihttp://ahro.austin.org.au/austinjspui/handle/1/13488en
dc.description.abstractFibrous stricture formation causing dysphagia after oesophagogastrectomy with a circular stapled or sutured anastomosis remains a significant complication, occurring in up to one-third of cases. An anastomosis that avoids this complication would be desirable, given that resection is often performed to palliate dysphagia. We describe a technique of oesophagogastric anastomosis using linear staplers which eliminates the postoperative complication of fibrous stricture formation.A retrospective analysis of 111 consecutive patients who underwent oesophagogastrectomy for neoplasm or benign oesophageal stricture between March 1980 and April 1991 was carried out. Cadaveric models of the anastomosis were constructed and compared to models of circular stapled anastomoses.An anastomosis using linear staplers was used in 111 patients with a leak rate of 2.7%, 30-day and hospital mortality rates of 5.4% and 8.1%, respectively, and no benign stricture formation. In the cadaveric models, the cross-sectional areas of the linear stapled anastomoses were greater than those of the circular stapled anastomoses, suggesting that this is an important factor in preventing fibrous stricture formation.An anastomosis using linear staplers can be performed with a low leak rate, an acceptable operative mortality and no benign stricture formation. We suggest that an anastomosis using linear staplers should be the preferred type of anastomosis in oesophagogastrectomy.en
dc.language.isoenen
dc.subject.otherAdulten
dc.subject.otherAgeden
dc.subject.otherAged, 80 and overen
dc.subject.otherAnastomosis, Surgical.methodsen
dc.subject.otherEsophageal Neoplasms.mortality.surgeryen
dc.subject.otherEsophagus.surgeryen
dc.subject.otherFemaleen
dc.subject.otherHospital Mortalityen
dc.subject.otherHumansen
dc.subject.otherMaleen
dc.subject.otherMiddle Ageden
dc.subject.otherPostoperative Complications.prevention & controlen
dc.subject.otherRetrospective Studiesen
dc.subject.otherStomach.surgeryen
dc.subject.otherSurgical Staplersen
dc.subject.otherSurvival Rateen
dc.titleOesophagogastrectomy with an anastomosis using linear staplers.en
dc.typeJournal Articleen
dc.identifier.journaltitleAustralian and New Zealand Journal of Surgeryen
dc.identifier.affiliationDepartment of Surgery, University of melbourne, Austin, Australiaen
dc.description.pages757-63en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/8918385en
dc.type.austinJournal Articleen
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.fulltextNo Fulltext-
item.cerifentitytypePublications-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
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