ArticleWorld journal of surgery2019
The Impact of Circular Stapler Size on the Incidence of Cervical Anastomotic Stricture After Esophagectomy.
Article in World journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- 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
- Smaller Circular Staplers Do Not Compromise Postoperative Quality of Life in Esophagojejunostomy: A CT-Based Clinical Trial.Annals of surgical oncology · 2026Observational
- Comparison of anastomotic stricture rates between 23- and 25-mm powered circular staplers in cervical esophagogastric anastomosis: a propensity-matched study.Esophagus : official journal of the Japan Esophageal Society · 2026Article
- Clinical outcomes of 23-mm circular stapled cervical anastomosis after esophagectomy.Esophagus : official journal of the Japan Esophageal Society · 2026Article
- The Rule for Good Anastomosis: A Golden Ratio Between Thickness and Diameter.Annals of surgical oncology · 2025Article
- Risk Factors for Benign Anastomotic Stenosis After Esophagectomy for Cancer.Annals of surgical oncology · 2025Article
- Rectal stenosis after circular mechanical anastomosis; the influence of stapler size.Surgical endoscopy · 2024Observational
- Comparison of the subtotal and narrow gastric conduit for cervical esophagogastrostomy after esophagectomy in esophageal cancer patients: a propensity score-matched analysis.Esophagus : official journal of the Japan Esophageal Society · 2024Article
- The impact of circular stapler size on the risk of anastomotic stricture following total mesorectal excision in rectal cancer patients: A retrospective cross-sectional study.Health science reports · 2023Article
- Real-life introduction of powered circular stapler for esophagogastric anastomosis: cohort and propensity matched score study.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2023Article
- Comparison of Postoperative Outcomes of Hand-Sewn Versus Stapled Esophago-jejunal Anastomosis During Total Gastrectomy for Gastric Cancer in 72 Patients: A Retrospective, Single-Center Study in Poland.Medical science monitor : international medical journal of experimental and clinical research · 2023Article
- Preoperative dilated esophagus is associated with a high risk of intrathoracic anastomotic leakage for patients with esophageal cancer.Journal of thoracic disease · 2020Article
- Analysis of the impact of EEA stapler size on risk of anastomotic complications in colorectal anastomosis: does size matter?Techniques in coloproctology · 2020Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCervical anastomotic stricture after esophagectomy is a serious complication that adversely affects postoperative recovery, nutritional status and quality of life. Cervical anastomosis by a circular stapler (CS) has been widely accepted as a simple and convenient method, but anastomotic strictures are likely to occur. The aim of this study was to investigate an association between CS size and the incidence of anastomotic stricture after cervical esophagogastric anastomosis performed by a CS.
methodsBetween April 2011 and March 2016, 236 consecutive patients underwent cervical esophagogastric anastomosis by a CS via a retrosternal route after esophagectomy for esophageal cancer. These patients were divided into according to CS size for the procedure as follows: small-sized (25 mm) CS group (SG, n = 116) and large-sized (28 or 29 mm) CS group (LG, n = 120). The clinical data of patients were analyzed retrospectively to compare the two groups.
resultsOverall, anastomotic strictures were observed in 90 patients (38%). The incidence of anastomotic stricture was significantly lower in the LG than the SG (23% vs. 53%, p < 0.001) (Table 3). Chronic obstructive pulmonary disease (COPD: FEV1.0% <70%) (OR 2.35, 95% CI = 1.09-5.14; p = 0.029), anastomotic leakage (OR 8.97, 95% CI = 2.69-41.30; p < 0.001), and a small-sized CS (OR 3.42, 95% CI = 1.82-6.62; p < 0.001) were independent risk factors for anastomotic stricture in the multivariate analysis.
conclusionsIf possible, a large-sized CS should be used to prevent cervical anastomotic strictures when performing cervical anastomoses by CS.
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