TY - JOUR
T1 - First clinical experience with fundus rotation gastroplasty as a substitute for the oesophagus
AU - Schilling, M.
AU - Redaelli, C.
AU - Zbären, P.
AU - Baer, H. U.
AU - Seiler, Ch
AU - Friess, H.
AU - Büchler, M. W.
PY - 1997
Y1 - 1997
N2 - Background - Leakage of oesophagogastric anastomosis has been associated with poor perfusion of the gastric tube. The authors recently developed a new form of gastroplasty, preserving not only the arterial arcade along the greater curvature, but also the lesser curvature. In this study their first clinical experience with that gastric tube is reported. Methods - Thirty-five patients undergoing either oesophagectomy or laryngopharyngo-oesophagectomy for malignant lesions and substitution of the oesophagus with a fundus rotation gastroplasty were included. Patient outcome, including anastomotic leak, hospital mortality and morbidity rates, were studied prospectively. Results - Hospital mortality rate was one of 35 and anastomotic leak (one minor, one moderate) was found in two patients with no subsequent mortality. Further major morbidity included pulmonary dysfunction in the form of acute respiratory distress syndrome (ARDS) in seven patients. Mean (s.e.m.) hospital stay was 27(19) days, and 21(9) days in patients who did not develop ARDS. Conclusion - Fundus rotation is a new method of gastroplasty that allows safe anastomosis of the tube with the remaining oesophagus or pharynx and is associated with a low leak rate even at high cervical levels.
AB - Background - Leakage of oesophagogastric anastomosis has been associated with poor perfusion of the gastric tube. The authors recently developed a new form of gastroplasty, preserving not only the arterial arcade along the greater curvature, but also the lesser curvature. In this study their first clinical experience with that gastric tube is reported. Methods - Thirty-five patients undergoing either oesophagectomy or laryngopharyngo-oesophagectomy for malignant lesions and substitution of the oesophagus with a fundus rotation gastroplasty were included. Patient outcome, including anastomotic leak, hospital mortality and morbidity rates, were studied prospectively. Results - Hospital mortality rate was one of 35 and anastomotic leak (one minor, one moderate) was found in two patients with no subsequent mortality. Further major morbidity included pulmonary dysfunction in the form of acute respiratory distress syndrome (ARDS) in seven patients. Mean (s.e.m.) hospital stay was 27(19) days, and 21(9) days in patients who did not develop ARDS. Conclusion - Fundus rotation is a new method of gastroplasty that allows safe anastomosis of the tube with the remaining oesophagus or pharynx and is associated with a low leak rate even at high cervical levels.
UR - http://www.scopus.com/inward/record.url?scp=0031031862&partnerID=8YFLogxK
U2 - 10.1002/bjs.1800840145
DO - 10.1002/bjs.1800840145
M3 - Article
C2 - 9043476
AN - SCOPUS:0031031862
SN - 0007-1323
VL - 84
SP - 126
EP - 128
JO - British Journal of Surgery
JF - British Journal of Surgery
IS - 1
ER -