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Updated: Jun 29, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
[The choice of esophagoenteroanastomosis after gastrectomy]
Abstract:
The two years (2004--2006) experience of gastric cancer surgical treatment is analized and summarized. 137 had gastrectomy, 73 patients had a combined operation because of the extent of the disease. Overall morbidity rate was 19.7%, leathality--4,4%. Though, lethality in the group of radically operated patients was 0,9%, whereas for those, who could have only palliative surgery, it totaled 25%. It is established, that performing a Gilyarovitch esophagoenteroanastomosis allows to avoid its failure. Gastrectomy with a phrenic segment esophagus resection is not a contraindication for the Gilyarovitch esophagoenteroanastomosis. The method of small intestine mesentery extension is described. It allows to perform a loop anastomosis at the level of phrenic and retropericardial esophageal segments. Indications for Roux esophagoenteroanastomosis are worked out.
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