ArticleAnnals of gastroenterological surgery2020
Subtotal stomach in esophageal reconstruction surgery achieves an anastomotic leakage rate of less than 1%.
Article in Annals of gastroenterological surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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16 citing papers in PubMed, 21 citations in OpenAlex.
- Clinical significance and predictive factors of delayed gastric conduit emptying after esophagectomy.Surgery today · 2026Article
- Simplified single-layer interrupted hand-sewn esophagogastric anastomosis for McKeown esophagectomy: A simple and reproducible technique.Surgery today · 2026Article
- Conduit size and the risk of delayed gastric conduit emptying after esophagectomy.Surgery today · 2026Article
- Article
- Impact of Right Top Pulmonary Vein Location on Subcarinal Lymph Node Dissection in Thoracoscopic Esophagectomy: A Case Report and Literature Review.Surgical case reports · 2025Article
- 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
- Comparison of wide and narrow gastric conduit in esophageal cancer surgery.Journal of the Chinese Medical Association : JCMA · 2023Article
- Impact of zero anastomotic leakage after esophagectomy followed by whole stomach reconstruction for esophageal cancer: prospective cohort study.Langenbeck's archives of surgery · 2023Article
- Different gastric tubes in esophageal reconstruction during esophagectomy.Esophagus : official journal of the Japan Esophageal Society · 2023Review
- A case of advanced hypopharyngeal cervical esophageal cancer treated by curative resection with management of tracheoesophageal fistula.Clinical journal of gastroenterology · 2023Article
- Surgical outcomes of reconstruction using the gastric tube and free jejunum for cervical esophageal cancer: analysis using the National Clinical Database of Japan.Esophagus : official journal of the Japan Esophageal Society · 2023Article
- What is the best reconstruction procedure after esophagectomy? A meta-analysis comparing posterior mediastinal and retrosternal approaches.Annals of gastroenterological surgery · 2023Review
- Right top pulmonary vein is a venous anomaly of which surgeons should be aware in subcarinal dissection for thoracoscopic esophagectomy: a case report and literature review.World journal of surgical oncology · 2022Review
- Subtotal esophagectomy followed by subtotal gastric reconstruction for Boerhaave's syndrome: Case report with literature review.International journal of surgery case reports · 2022Article
- Risk Factors of Benign Stricture of Anastomotic Stoma after Esophagectomy and Therapeutic Effect of Stent Implantation.Emergency medicine international · 2022Article
- Subtotal stomach in esophageal reconstruction surgery achieves an anastomotic leakage rate of less than 1%.Annals of gastroenterological surgery · 2020Article
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Aim: The objective of this retrospective, single-institution study was to assess the safety and feasibility of reconstruction using subtotal stomach (SS) with esophagectomy for patients with esophageal cancer (EC). Although several different gastric-tube-making and anastomotic methods have been reported, the incidence rate of anastomotic leakage with EC surgery is generally reported over 10%. Complications should be avoided, and patient quality of life (QOL) should be maintained postoperatively. We have used SS reconstruction and hand-sutured cervical esophagus-subtotal gastric anastomosis at the neck wound in EC surgery. Short- and long-term outcomes in cases using SS are not well known. Methods: Between January 2008 and September 2019, 300 patients underwent esophagectomy for EC and reconstruction using SS. The primary endpoint was the rate of anastomotic leakage. Secondary endpoints were postoperative morbidities, QOL, and changes in patients' body weight and skeletal muscle weight. Results: Anastomotic leakage was observed in two patients (0.67%), and pneumonia was observed in nine patients (3.0%). Fifteen patients (5.0%) had an anastomotic stenosis requiring a bougie. Nausea occurred in 11 patients (3.7%), and dumping syndrome occurred in seven patients (2.3%). Dysphagia and early feeling of abdominal fullness scores tended to be high after surgery but gradually decreased after 6 months. Good results were obtained for reflux feeling scores. Body weight changed with an average decrease of -2 ± 3.71 kg ( Conclusion: Reconstruction using SS resulted in an extremely low rate of anastomotic leakage and good QOL postoperatively in patients with EC.
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