Mohammad Zakir Hossain Bhuiyan1, Kazi Saiful Islam2, Md. Shamsul Alam2, GM Akbar Chowdhury3, Mobarok Hossain4, Abdur Rahim4, Delwar Hossain5, Mofizur Rahman Mia2, Anwarul Anam Kibria2, AKM Akramul Haque2, Akhter Hamid2, AKM Razzaque3, Zillur Rahman3, Md. Nazmul Islam6, Md. Aminul Islam7
Abstract:
Background: Oesophagogastrostomy after oesophagogastrectomy is done for many reasons. Out of these, carcinoma of the oesophagus,
gastrooesophageal junction or stomach involving lower end of oesophagus are more common. In this study, the patients suffering from carcinoma in these sites have been selected so that the result of the study should have no influence for the disease process. Surgery has been the mainstay of treatment of oesophageal cancer which evolves the principles of complete resection of the tumour, the abnormal oesophagus and the draining lymph nodes. Swallowing is restored by the interposition of the stomach, small bowel or colon, but the stomach is commonly used. There are different ways of
oesophagogastrectomy, either transhiatal or standard transthoracic route. Resection of diseased portion of the oesophagus and stomach is done by any method, but during anastomosis, the stapl;ing device and hand sewn techniques are applied. To compare the outcome between these procedures, this study was performed.
Methods: This study was done in the department of Thoracic Surgery in National institute of Diseases of the Chest and Hospital from January 2011 to December 2011.It was a prospective study. 60 patients were purposively selected from different surgery wards irrespective of age and sex of the patients. Patients having carcinoma in upper third region of the oesophagus and those having advanced stage were excluded from the study. All (60) patients were advised for adopting the stapled procedure, but due to poverty not all but 32 patients were agreed to have had the procedure . The remaining
28 patients were treated by hand sewn technique. By this way, all the patients were divided into two groups, group A stapled technique and group B the hand sewn tevhnique.
Result: This study was done to compare the outcome of oesophagogastrostomy after oesophagogastrectomy between stapler and hand sewn techniques.