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Surgical Endoscopy
Published in: Surgical Endoscopy 10/2010

01-10-2010 | New Technology

Significance of intraoperative endoscopy in total gastrectomy for gastric cancer

Authors: Katsunori Nishikawa, Katsuhiko Yanaga, Hideyuki Kashiwagi, Nobuyoshi Hanyuu, Shuuichi Iwabuchi

Published in: Surgical Endoscopy | Issue 10/2010

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Abstract

Background

Anastomotic impairment can be a major cause of surgical complications in gastrointestinal surgery. The aim of this study was to evaluate the efficacy of intraoperative endoscopy (IOE) in esophagojejunal anastomosis for detection of anastomotic impairment.

Methods

Forty-eight patients who underwent total gastrectomy were evaluated for the integrity of the esophagojejunostomy using IOE at completion of mechanical esophagojejunal anastomosis.

Results

Overall postoperative anastomotic leakage (PAL) rate was 4.2% (n = 2/48). Both patients who developed PAL had abnormal findings such as mucosal defect in the esophageal mucosa or incomplete anastomotic stapling. Also, IOE revealed inadvertent anastomotic failure in three patients: two jejunal and one esophageal occlusion. There were no complications due to IOE.

Conclusion

IOE is safe and may easily provide significant information that can minimize PAL by detecting anastomotic failure on esophagojejunal anastomosis.
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Metadata
Title
Significance of intraoperative endoscopy in total gastrectomy for gastric cancer
Authors
Katsunori Nishikawa
Katsuhiko Yanaga
Hideyuki Kashiwagi
Nobuyoshi Hanyuu
Shuuichi Iwabuchi
Publication date
01-10-2010
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 10/2010
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-010-1007-0

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