[Prevention of incompetence of esophageal sutures]

Patients suffering from esophageal and gastric diseases were divided into 2 clinical groups: main (133) and control (115 patients) groups. In the main group particular attention was focussed on correct formation of the grafts, precision techniques of application of the sutures of the anastomosis, the use of laser, and adequate correction of the alimentary and immunological status. The incidence of incompetence of the esophageal anastomoses reduced from 12.2 to 0.8%. Fatal outcomes were not encountered in the main group, 9 patients died in the control group.