A new stapling technique in esophageal mucosal transection

Transabdominal esophageal mucosal transection for control of bleeding esophageal varices has been used in our clinic since 1972. The most difficult part in this procedure is the reanastomosis of the transected mucosal tube. To facilitate this procedure, end-to-end anastomosis (EEA) stapling instrument has been in use since July, 1980. Thirteen patients have so far undergone this procedure and there have been no complications. The technique of anastomosis of the mucosal tube is described herein.