Esophagogastrectomy with use of a single gastrotomy for pyloromyectomy and insertion of EEA stapler and gastrostomy tube

A technique of esophagogastrectomy is described in which a single gastrotomy permitted insertion of an end-to-end circumferential stapler for esophagogastric anastomosis, a transgastric pyloromyectomy, and placement of a gastrostomy tube. A transgastric pyloromyectomy was easy to perform and functio...

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Bibliographic Details
Published inArchives of surgery (Chicago. 1960) Vol. 121; no. 8; p. 961
Main Author Shiu, M H
Format Journal Article
LanguageEnglish
Published United States 01.08.1986
Subjects
Esophagus - surgery
Gastrectomy - methods
Gastrostomy - instrumentation
Humans
Intubation, Gastrointestinal
Muscle, Smooth - surgery
Postoperative Care
Postoperative Complications
Pylorus - surgery
Stomach - surgery
Surgical Staplers
Thoracic Surgery
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Summary:A technique of esophagogastrectomy is described in which a single gastrotomy permitted insertion of an end-to-end circumferential stapler for esophagogastric anastomosis, a transgastric pyloromyectomy, and placement of a gastrostomy tube. A transgastric pyloromyectomy was easy to perform and functioned adequately. The stapler could be advanced via the gastrotomy into the mediastinum or the upper thorax for the anastomosis. The placement of a gastrostomy tube obviated the need for prolonged use of a nasogastric tube, thus removing a major cause of discomfort. Use of this technique in 20 patients simplified the operative procedure and the postoperative care.
ISSN:0004-0010
DOI:10.1001/archsurg.1986.01400080109020