[A simple method of creation of invaginated esophago-intestinal and esophago-gastric anastomoses]

Creation of invaginated esophageal anastomosis is easier by Tsatsanidi method, but this is accompanied by certain discomforts. In particular, there is inescapable contamination of intestinal serosa by ligature which fixes esophageal stump from inside and is taken out through intestinal wall. The author proposes to put this ligature into the side hole of the thick gastric tube and to fix it there with bougie. The tube is moved deeplier, ligature and esophageal stump are pulled up. This facilitates creation of invaginated anastomosis. Then bougie is removed from the thick tube and fixed ligature is freed. This method was used in 19 patients. There were no lethal outcomes due to insufficiency of esophageal anastomosis. This method permits to simplify creation of invaginated anastomosis, to increase asepsis of surgery and to dicrease the risk of anastomosis insufficiency.