ArticleWorld journal of surgery2017
Risk Factors for Anastomotic Stricture Post-esophagectomy with a Standardized Sutured Anastomosis.
Article in World journal of surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.
- Risk factors for esophageal anastomotic stricture after esophagectomy: a meta-analysis.BMC cancer · 2024Pooled it
- Endoscopic incisional therapy for benign anastomotic strictures after esophagectomy or gastrectomy: a systematic review and meta-analysis.Surgical endoscopy · 2024Pooled it
- Risk factors of cervical anastomotic stricture after esophagectomy detected by early postoperative endoscopy.Surgical endoscopy · 2026Article
- Robotic- assisted minimally invasive Ivor-Lewis handsewn anastomosis technique and outcomes from a large-volume European centre.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2025Article
- Risk factors for and treatment of anastomotic strictures after Ivor Lewis esophagectomy.Surgical endoscopy · 2024Article
- Re-establishment of the digestive lumen in a postesophagectomy anastomotic atresia under endoscopic ultrasound guidance.Endoscopy · 2023Article
- Dysphagia After Esophageal Replacement and Its Treatment.Dysphagia · 2023Article
- Endoscopic Stricturotomy in the Treatment of Refractory Esophageal Anastomotic Strictures.Dysphagia · 2023Article
- Impact of pre-diabetes, well-controlled diabetes, and poorly controlled diabetes on anastomotic leakage after esophagectomy for esophageal cancer: a two-center retrospective cohort study of 1901 patients.Esophagus : official journal of the Japan Esophageal Society · 2023Article
- Totally mechanical Collard versus circular stapled cervical esophagogastric anastomosis for minimally invasive esophagectomy.Surgical endoscopy · 2023Article
- Which Anastomotic Techniques Is the Best Choice for Cervical Esophagogastric Anastomosis in Esophagectomy? A Bayesian Network Meta-Analysis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023Review
- Identifying a core symptom set triggering radiological and endoscopic investigations for suspected recurrent esophago-gastric cancer: a modified Delphi consensus process.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2022Article
- Mucosal Congestion on the First Day Following Endoscopy Predicts Anastomotic Stricture After Esophagectomy.World journal of surgery · 2022Article
- Endoscopic Management for Post-Surgical Complications after Resection of Esophageal Cancer.Cancers · 2022Review
- Initial management of esophageal anastomotic strictures after transhiatal esophagectomy for esophageal cancer with dilations up to 18-20 mm.Surgical endoscopy · 2021Article
- Totally Mechanical Collard Technique for Cervical Esophagogastric Anastomosis Reduces Stricture Formation Compared with Circular Stapled Anastomosis.World journal of surgery · 2020Article
- Early prediction of complex benign anastomotic stricture after esophagectomy using early postoperative endoscopic findings.Surgical endoscopy · 2020Article
- Risk factors and therapeutic measures for postoperative complications associated with esophagectomy.Annals of medicine and surgery (2012) · 2020Review
- Comparison of Outcomes with Semi-mechanical and Circular Stapled Intrathoracic Esophagogastric Anastomosis following Esophagectomy.World journal of surgery · 2019Article
- Minimally invasive surgical management of spontaneous esophageal perforation (Boerhaave's syndrome).Surgical endoscopy · 2019Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBenign anastomotic strictures occur frequently after esophagectomy, and impact on postoperative recovery, nutritional status, and quality of life. This large cohort study explored the incidence of stricture after transthoracic (2- and 3-stage) and transhiatal resections with uniform single-layer sutured anastomotic technique, and aimed to identify independent risk factors.
methodsPatients undergoing esophagectomy with gastric conduit reconstruction between February 2001 and October 2014 were studied prospectively. Symptomatic anastomotic stricture was defined as dysphagia requiring endoscopic dilatation, and refractory strictures as those requiring >5 dilatations. Multivariable logistic regression was performed to determine factors independently associated with stricture development.
resultsFive-hundred and twenty-four patients, 77 % with adenocarcinoma, underwent esophagectomy [2-stage, n = 328 (62.6 %); 3-stage, n = 129 (23.3 %); transhiatal, n = 74 (14.1 %)], with an overall inhospital mortality rate of 2.7 %. 58.5 % of patients received neoadjuvant therapy [chemotherapy only, n = 119 (22.7 %); chemoradiation, n = 188 (35.9 %)]. Anastomotic stricture developed in 125 patients (24.5 %), was refractory in 20 (3.9 %) and required a median of 2 dilatations (range 1-18). On multivariable analysis, ASA grade (P < 0.05), cervical anastomosis (P < 0.001), and a significant postoperative cardiac event (P < 0.05) were independently associated with stricture risk. Refractory strictures were independently associated with anastomotic leak (P = 0.01) and transhiatal resections (P < 0.001).
conclusionBenign anastomotic strictures are common, particularly with cervical reconstruction, and after transhiatal resection. Refractory strictures are rare. Where fitness and oncologic equivalence apply, a thoracic anastomosis provides significant advantages compared with a cervical anastomosis in terms of anastomotic stricture risk.
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