Analysis of outcomes of a transoral circular stapled anastomosis following major upper gastrointestinal cancer resection.
Dis Esophagus
; 34(11)2021 Nov 11.
Article
in En
| MEDLINE
| ID: mdl-33554244
ABSTRACT
BACKGROUND:
Esophageal anastomoses performed following esophagectomy and total gastrectomy are technically challenging with a significant risk of anastomotic leak. A safe, reliable, and easy anastomotic technique is required to improve patient outcomes and reduce morbidity.METHOD:
This paper analyses 328 consecutive patients who underwent transoral circular stapled esophageal anastomosis (ORVIL™) from a prospectively collected single-center database between December 2011 and February 2019.RESULTS:
Two hundred and twenty-seven esophagectomies and 101 gastrectomies were performed using OrVil™ anastomoses. The mean patient age was 63.7 years. Of 328 consecutive OrVil™-based anastomoses, there were 10 clinically significant anastomotic leaks requiring radiological or operative intervention (3.05%). Twenty-eight (8.54%) patients developed anastomotic stricture, all of which were successfully treated with endoscopic balloon dilatation (a median of 1 dilatation was required per patient).CONCLUSION:
The OrVil™ anastomotic technique is reliable and safe to perform. This is the largest reported series of the OrVil™ anastomotic technique to date. Leak rates and anastomotic dilations were similar to other reported series. Based on our experience, we consider the use of the OrVil™ device for reconstruction after major upper GI resection to be safe and reliable.Key words
Full text:
1
Database:
MEDLINE
Main subject:
Esophageal Neoplasms
Type of study:
Etiology_studies
Limits:
Humans
/
Middle aged
Language:
En
Journal:
Dis Esophagus
Journal subject:
GASTROENTEROLOGIA
Year:
2021
Type:
Article
Affiliation country:
United kingdom