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Ann Thorac Surg 1994;58:254-256
© 1994 The Society of Thoracic Surgeons

Articles

Transhiatal stapled esophagojejunostomy without a pursestring suture in patients with previous gastric resection

R.Douglas Adams, MD, Keith B. Allen, MD, Keith Millikan, MD, Alexander Doolas, MD, L.Penfield Faber, MD*

Department of Cardiovascular and Thoracic Surgery, and Department of General Surgery, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois USA

Accepted for publication March 31, 1994.

* Address reprint requests to Dr Faber, Department of Cardiovascular/Thoracic Surgery, Rush-Presbyterian-St. Luke's Medical Center, 1725 W Harrison, Suite 218, Chicago, IL 60612.

Previous gastric resection complicates alimentary tract reconstruction after esophagectomy. Colonic interposition is the standard conduit in this circumstance, but has substantial mortality and morbidity, especially important when treatment goals are to provide effective alimentation and minimize hospital stay. This report details the technique of a transabdominal, intrathoracic, stapled esophagojejunostomy created without a pursestring suture, which was used to reconstruct the esophagus in 3 patients who had previously undergone partial gasttectomy. This technique avoids both colon interposition and thoracotomy, thereby minimizing the associated complications.






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Copyright © 1994 by The Society of Thoracic Surgeons.