[Esophagojejunostomy anastomosis technique (author's transl)]

Area of Science:

• Gastrointestinal Surgery
• Surgical Innovation
• Anastomotic Techniques

Context:

• Esophagojejunostomy is prone to leakage and reflux, complicating post-surgical recovery.
• Existing methods for esophagojejunostomy present specific challenges that necessitate improved techniques.

Purpose:

• To present a novel surgical method for end-to-side esophagojejunostomy designed to prevent leakage and reflux.
• To describe the technique of completely surrounding the anastomosis with a proximal jejunal stump.

Summary:

• A new isoperistaltic interposition technique utilizes a proximal jejunal loop, with a 15 cm oral segment for end-to-side anastomosis using interrupted sutures.
• The jejunal stump is wrapped around the anastomosis, creating a sealed, valve-like structure that ensures unidirectional flow and prevents reflux.
• The distal jejunal segment is anastomosed end-to-end to the duodenum.

Impact:

• This technique completely envelops the anastomosis, effectively preventing leakage and stenosis.
• Clinical outcomes demonstrate promising results with no observed leakage or stenosis in operated cases.
• The method offers protection against reflux through a valve-like action, improving patient outcomes in esophagojejunostomy.