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  • Title: [Circular staplers in esophagojejunal and esophagogastric anastomoses].
    Author: Tuchmann A, Blauensteiner W, Hoffer F, Armbruster C.
    Journal: Wien Klin Wochenschr; 1989 Sep 29; 101(18):626-9. PubMed ID: 2815779.
    Abstract:
    A report on 100 consecutive esophagoenteric anastomoses (EEA stapler) following total (esophagojejunostomy) or proximal gastrectomy (esophagogastrostomy) is presented. The following intraoperative problems occurred: insufficiency of the purse string suture [4], lumen of the esophagus too small [1], rupture of the esophageal wall [4], incomplete rings [4]. Fatal postoperative complications included two cases of insufficiency of the esophagojejunostomy, whilst the remaining six postoperative deaths were not linked to the use of the stapler (operative mortality 8%). Follow-up showed no recurrence at the stapler line, but two anastomotic strictures occurred. The EEA stapler is a helpful instrument to reduce leakage at the esophagoenteric anastomosis and, hence operative mortality after total and proximal gastrectomy.
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