Esophageal anastomotic stricture criteria

I believe that many people are not clear about the judgment criteria for esophageal anastomotic stenosis, but everyone still needs to understand the situation of esophageal anastomotic stenosis, because esophageal anastomotic stenosis affects our eating and the occurrence of diseases such as esophagitis. The most important thing is that it can lead to weight loss and symptoms of limb weakness, so we should have some understanding of the treatment of esophageal anastomotic stenosis.

Prevention of anastomotic stricture after esophageal cancer surgery

Anastomotic stenosis after surgery for esophageal cancer and cardiac cancer is a common long-term complication. In severe cases, patients may have difficulty eating, become emaciated, and lose weight. In addition to the stenosis caused by tumor recurrence, other common factors include tension on the esophagogastric anastomosis, local ischemia of gastric tissue, stenosis of anastomotic scar, reflux esophagitis, excessive tissue embedding during surgery, and many other factors. Esophagogastric cervical anastomosis is more prone to anastomotic stenosis. Methods and measures to reduce postoperative anastomotic stenosis include:

1. Fully ensure the blood supply of the esophagus and stomach tissue near the anastomosis;

2. Manual anastomosis or anastomosis with a tubular stapler requires alignment of the mucosa;

3. Reduce excessive multi-layer embedding during esophagogastric anastomosis;

4. Using absorbable sutures may reduce the occurrence of postoperative anastomotic stenosis, and it is relatively easy to dilate if necessary;

5. Using a tubular stapler with a larger diameter will form a relatively large anastomosis;

6. Using oblique anastomosis during manual anastomosis can increase the diameter of the anastomosis;

7. When using a tubular stapler for anastomosis, add an additional purse-string suture on the stomach side. This may help reduce anastomotic stenosis by removing a little more gastric tissue after anastomosis.

8. Using a linear stapler to perform esophagogastric side-to-side anastomosis can form a larger anastomosis, which can effectively reduce the incidence of postoperative anastomotic stenosis;

9. Regular use of acid suppressants and mucosal protective agents after surgery may be helpful.