Sutured oesophageal anastomosis

  • Anthony Watson


The choice of sutured or stapled oesophageal anastomoses is dictated largely by personal preference. Such comparative studies as are available show no significant differences in the rates of anastomotic dehiscence1,2. Sutured anastomoses are marginally more time consuming to perform but are associated with a lower incidence of anastomotic stricture3, particularly when the smaller staple heads are used. The author’s preference has been for hand-sutured anastomoses using the technique described, which has produced reliable results over almost two decades.


Gastric Tube Anastomotic Dehiscence Thoracic Epidural Analgesia Stay Suture Proximal Oesophagus 
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  1. 1.
    Hopkins RA, Alexander JC, Postlethwait RW. Stapled esophagogastric anastomosis. Am J Surg 1984; 147: 283–7.PubMedCrossRefGoogle Scholar
  2. 2.
    Wong J. Esophageal resection for cancer: the rationale of current practice. Am J Surg 1987; 153: 18–24.PubMedCrossRefGoogle Scholar
  3. 3.
    Paterson IM, Wong J. Anastomotic leakage: an avoidable complication of Lewis—Tanner oesophagectomy. BrJSurg 1989; 76: 127–9.Google Scholar
  4. 4.
    Watson A. Surgery for carcinoma of the oesophagus. Postgrad Med J 1988; 64: 860–4.PubMedCentralPubMedCrossRefGoogle Scholar
  5. 5.
    Watson A. Oesophageal neoplasms. Curr Opin Gastroenterol 1990; 6: 590–6.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media Dordrecht 1994

Authors and Affiliations

  • Anthony Watson
    • 1
  1. 1.The Wellington HospitalLondonUK

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