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  • Title: [The choice of esophagoenteroanastomosis after gastrectomy].
    Author: Polikarpov SA, Lisitskiĭ AN, Goriunov IV, Suleĭmanov MU.
    Journal: Khirurgiia (Mosk); 2008; (9):56-60. PubMed ID: 18833185.
    Abstract:
    The two years (2004--2006) experience of gastric cancer surgical treatment is analized and summarized. 137 had gastrectomy, 73 patients had a combined operation because of the extent of the disease. Overall morbidity rate was 19.7%, leathality--4,4%. Though, lethality in the group of radically operated patients was 0,9%, whereas for those, who could have only palliative surgery, it totaled 25%. It is established, that performing a Gilyarovitch esophagoenteroanastomosis allows to avoid its failure. Gastrectomy with a phrenic segment esophagus resection is not a contraindication for the Gilyarovitch esophagoenteroanastomosis. The method of small intestine mesentery extension is described. It allows to perform a loop anastomosis at the level of phrenic and retropericardial esophageal segments. Indications for Roux esophagoenteroanastomosis are worked out.
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