Duodenal closure and esophagojejunostomy experience with mechanical stapling devices in total gastrectomy for cancer.

@article{Campion1988DuodenalCA,
  title={Duodenal closure and esophagojejunostomy experience with mechanical stapling devices in total gastrectomy for cancer.},
  author={Jean Pierre Campion and J Nomikos and Bernard Launois},
  journal={Archives of surgery},
  year={1988},
  volume={123 8},
  pages={979-83}
}
Two hundred fifty patients with cancer underwent gastrectomy over a ten-year period. In 225 the duodenum was closed by stapler and only one disruption occurred (0.45%). The first 89 esophagojejunostomies were hand sewn, and thereafter 161 were stapled with an end-to-end anastomosis device. Overall mortality was 27% and 10%, respectively. Death due to surgical causes occurred in 19% of the cases in the first group and 6.8% in the second. No statistical difference was observed in the esophageal… CONTINUE READING