Summary
Following the previous report of anastomotic ring using rubber stopper technique, a new soluble ring, which is made of cat-gut, has been devised and successfully applied clinically to the esophageal anastomosis. Of 22 cases operated on with this procedure, no leakage, no stenosis, no reflux esophagitis was encountered. Although the study of this technique is still being continued by devising many kinds of ring and trying them clinically, this may be said to be a safe and certain procedure. Especially one of the most remarkable advantages is that an intranasal catheterization is not necessary in the postoperative period and the patient can start oral intake of water and fluid diet as soon as the day after the operation, and insufficiency of the anastomosis is prevented.
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Adams, W. E., Escudero, Bueno, E. L., Aronsohn, H. G. and Shaw, M. M.: Resection of the thoracic esophagus; clinical and experimental study, J. Thorac. Surg., 7: 605, 1938.
Akakura, L., Nakamura, K., Morisue, H., Ueda, M., Takano, N., Omori, T., Shishikura, K., Tokura, Y. and Kimura, Y.: Fundamental problems in gastrointestinal and esophageal anasomosis (in Japanese), Shijutsu, 21: 313, 1967.
Barnes, W. A. and Redo, S. F.: Evaluation of esophago-jejunostomy in the treatment of lesions at the esophago-gastric junction, Ann. Surg., 146: 224, 1957.
Biondi, D.: Esophagogastrostomie experimentale intrathoracica, Policlinico, suppl., 1: 964, 1896 quote from (2).
Borgstrom, S. and Lundh, B.: Healing of esophageal anasomosis; animal experiments, Ann. Surg., 150: 142, 1959.
Carter, B. N., Stevenson, J. and Abbott, A. O.: Experimental esophagcogastrostomy, J. Thorac. surg., 10: 446, 1941.
Cross, F. S. and Kay, E. B.: The etiology and treatment of peptic esophagitis, Ann. Surg., 143: 360, 1956.
Daido, R., Kano, M., Hirotani, K., Nishio, Y. and Funada, M.: A method of total gastrectomy followed by a “d” shaped esophageal anastomosis, Surgery, 62: 865, 1967.
Ellis, F. H.: Experimental aspect of the surgical treatment of reflux esophagitis and esophageal stricture, Ann. Surg., 143: 456, 1956.
Miller, R. T. Jr. and Andrus, W. D. W.: Experimental surgery of the thoracic esophagus, Bull. Johns Hopkins Hosp., 34: 109, 1923.
Nakayama, K.: Shokaki-Geka, Vol. 2, 1954. Kanehara-Shuppan, Tokyo.
Ogawa, K.: Practical appraisal of tissue adhesive on esophageal anastomosis (in Japanese), J. Jap. Assoc. Thorac. Surg., 18: 97, 1970.
Postlethwait, R. W., Deaton, W. R. Jr., Bradschaw, H. H., Williams, R. W. and Salem, W. N. C.: Esophageal anastomosis: types and methods of suture, Surgery, 28: 537, 1950.
Postlethwait, R. W., Weingerg, M., Jenkins, L. B. and Brockington, W. S.: Mechanical strength of esophageal anastomosis, Ann. Surg., 133: 472, 1951.
Saint, J. H. and Mann, F. C.: Experimental surgery of the esophagus, Arch. Surg., 18: 2324, 1926.
Sheck, J. L., Prietto, C. A., Tuttle, W. M. and Obrien, E. J.: Experimental study of blood supply of esophagus and its relation to esophageal resection and anastomosis, J. Thorac. Surg., 19: 523, 1950.
Watkins, D. H.: A method of preventing peptic esophagitis following esophagogastrostomy, J. Thorac. Surg., 28: 367, 1954.
Yamaguchi, I.: Postoperative anorexia as one of thecomplaints after radical operation for esophageal and cardiac carcinoma and postoperative reflux-esophagitis (in Japanese), J. Jap. Assoc. Thorac. Surg., 5: 1176, 1957.
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Daido, R., Kano, M., Hirotani, K. et al. A new method of esophageal anastomosis by means of the deviced ring. Japanese Journal of Surgery 1, 63–71 (1971). https://doi.org/10.1007/BF02468542
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DOI: https://doi.org/10.1007/BF02468542