Pathogenetic approach to the treatment of esophageal anastomosis failure

The original method of esophageal anastomosis failure treatment and prophylaxis was used in 2190 patients. The method involves a device, providing a continuous irrigation of the anastomosis area with antiseptic and prevents contact between the suture line and gastric contents. It allowed to decrease of anastomosis failure to 0,6%. Postoperative lethality after operations performed on account of gastric cancer was 2,2% and 6,5% after operations on account of esophageal cancer. None of the patients had died due to esophageal anastomosis failure during the last 5 years.