Published in:
01-11-2021 | Esophagus Resection | ASO Author Reflections
ASO Author Reflections: Does Damaged Stomach Increase the Risk of Anastomotic Leakage After Esophagectomy?
Authors:
Suguru Maruyama, MD, PhD, Akihiko Okamura, MD, PhD, Masayuki Watanabe, MD, PhD, FACS
Published in:
Annals of Surgical Oncology
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Issue 12/2021
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Excerpt
Anastomotic leakage (AL) is one of the most common complications after esophagectomy. The stomach is the first choice for esophageal reconstruction because it is well-vascularized by an intramural vascular network.
1 Generally, an esophagogastric anastomosis is made on the tip of the gastric tube, where the blood supply is maintained through the intramural vascular network. Although gastric disorders may impede the intramural vascular network and reduce blood flow, few studies have elucidated whether the impaired intramural vascular network influenced the occurrence of AL. The authors hypothesized that the disrupted intramural blood flow in the stomach increases the risk of AL after esophagectomy. …