BACKGROUND: The aim of this study is to evaluate the complications of cervical esophagogastric anastomosis with stapler. METHODS: Thirty patients with megaesophagus grade III/IV submitted to esophagectomy by transmediastinal approach were reviewed. The age of the patients ranged from 31 to 68 years old. The reconstruction was performed by gastric transposition with anastomosis in the cervical region using a DHC stapler number 25/29. RESULTS: Four patients (13.3%) presented clinical complications with pneumonia, which was managed with clinical treatment. Four others (13.3%) had anastomosic leakage with good evolution under conservative treatment; three of these patients and another without leakage developed strictures of anastomosis, but with good evolution after endoscopic dilatations. CONCLUSION: We conclude that the mechanical suture is appropriated. However it is necessary to carry out a comparative study with the manual technique.
Esophagus; Stapler; Acalasia
