The investigators improved the hybrid everted esophagogastrostomy and expected to prevent the incidence of anastomotic stricture. The purpose of this study is to determine the clinical value of this kind of operation type, and analyzes the clinicopathological factors causing the postoperative complications.
This randomized clinical trial compared a hybrid everted esophagogastric anastomosis with conventional hand-sewn or stapled esophagogastrostomy for prevention of anastomotic stricture. The patients were completely randomized to receive either a hybrid everted esophagogastric anastomosis (HE group), or the conventional hand-sewn (HS group), or a stapled (SA group) anastomosis, after the removal of esophageal tumor. The primary outcome measured the incidence of anastomotic stricture at 3 months after the operation (defined as the diameter of the anastomotic orifice \<= 0.8 cm on esophagogram), analyzed by intention-to-treat.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
144
the incidence of anastomotic stricture
the anastomotic stricture is defined as the diameter of the anastomotic orifice \<= 0.8 cm on esophagogram
Time frame: three months
The grades of dysphagia
0:No dysphagia on solid diet 1. dysphagia on solid diet 2. dyspahgia on semi-solid diet 3. dysphagia on fluid diet 4. dysphagia with water swallowing
Time frame: three months
the grades of acid regurgitation
0:no reflux on semi-supine position 1. postprandial reflux on semi-supine position 2. reflux with empty stomatch on semi-supine position 3. postprandial reflux on upright position 4. reflux with empty stomach on upright positino
Time frame: three months
the clinicopathological parameters in relation to postoperative complications
Time frame: three months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.