{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T11:16:36Z","timestamp":1761822996372},"reference-count":18,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2007,5,30]],"date-time":"2007-05-30T00:00:00Z","timestamp":1180483200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2007,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The purpose of this study was to investigate the effects of esophagotomy closure techniques on the esophageal bursting pressure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>Altogether, 122 freshly dead sheep esophagi received from the local slaughterhouse were prepared for manual closure. After esophagotomy, the specimens were divided into four groups. An interrupted mucosal suture pattern (<jats:italic>n<\/jats:italic> = 30), an interrupted mucosal\u2010submucosal suture pattern (<jats:italic>n<\/jats:italic> = 30), an interrupted mucosal\u2010submucosal + over\u2010over continuous muscular suture pattern (<jats:italic>n<\/jats:italic> = 32), and an interrupted mucosal\u2010submucosal + reinforcement with a diaphragmatic part with full\u2010thickness interrupted U suture pattern (<jats:italic>n<\/jats:italic> = 30) were used for esophagotomy closure; 4\u20100 silk was used in all specimens. Bursting pressures were measured with a sphygmomanometer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We found a statistically significant difference among the bursting pressures of all groups (<jats:italic>p<\/jats:italic> &lt; 0.001). The bursting pressure values gradually increased from group 1 to group 4 (47.6 \u00b1 22.7, 86.2 \u00b1 49.5, 185.4 \u00b1 53.5, and 226.8 \u00b1 62.4\u00a0mmHg, respectively). Reinforcing the esophageal suture line with tissue significantly increased the bursting pressure compared to the other groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Each layer of the esophagus significantly contributes to strengthening esophageal wall tension with primary esophageal closure, and reinforcement of the esophageal suture with tissue provides an additional significant increase in the bursting pressure of the esophagus.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-007-9084-5","type":"journal-article","created":{"date-parts":[[2007,5,29]],"date-time":"2007-05-29T13:00:00Z","timestamp":1180443600000},"page":"1445-1448","source":"Crossref","is-referenced-by-count":7,"title":["Strength of Esophageal Closure Techniques With and Without Tissue Reinforcement"],"prefix":"10.1002","volume":"31","author":[{"given":"Ali","family":"Yeginsu","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery Gaziosmanpasa University School of Medicine G\u00f6\u011f\u00fcs Cerrahisi AD 60500 Cennet Mh. Tokat Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makbule","family":"Ergin","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Gaziosmanpasa University School of Medicine G\u00f6\u011f\u00fcs Cerrahisi AD 60500 Cennet Mh. Tokat Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Unal","family":"Erkorkmaz","sequence":"additional","affiliation":[{"name":"Department of Biostatistics Gaziosmanpasa University School of Medicine G\u00f6\u011f\u00fcs Cerrahisi AD 60500 Cennet Mh. Tokat Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,5,30]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s002689900282"},{"key":"e_1_2_6_3_2","first-page":"2101","volume-title":"General Thoracic Surgery. 6th edition.Vol. 2","author":"Shields TW","year":"2005"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.1993.tb00421.x"},{"key":"e_1_2_6_5_2","first-page":"414","article-title":"Approaches to esophageal suturing","volume":"21","author":"Shamir MH","year":"1999","journal-title":"Compend Contin Educ Pract Vet"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532\u2010950X.2004.04062.x"},{"key":"e_1_2_6_7_2","first-page":"433","volume-title":"Wound Repair","author":"Peacock EE","year":"1984"},{"key":"e_1_2_6_8_2","first-page":"491","article-title":"Compararative study of bursting and tensile strengths of digestive tract in the dog: application to esophago\u2010intestinal sutures","volume":"152","author":"Ogurtan Z","year":"2001","journal-title":"Rev Med Vet"},{"key":"e_1_2_6_9_2","first-page":"343","article-title":"Tissue holding power to a single suture in different parts of the alimentary tract","volume":"142","author":"Tera H","year":"1976","journal-title":"Acta Chir Scand"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1159\/000065712"},{"key":"e_1_2_6_11_2","first-page":"638","article-title":"Functional suture\u2010holding layer of the esophagus in the dog","volume":"192","author":"Dallman MJ","year":"1988","journal-title":"J Am Vet Med Assoc"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1115\/1.2835072"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039\u20106109(05)70568\u20105"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02051930"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002\u20109610(89)90612\u20100"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2003.12.013"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002\u20109610(78)90315\u2010X"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800831140"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1572\u20101000(05)00035\u20109"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-007-9084-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-007-9084-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-007-9084-5","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,8]],"date-time":"2024-01-08T11:05:20Z","timestamp":1704711920000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-007-9084-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,5,30]]},"references-count":18,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2007,7]]}},"alternative-id":["10.1007\/s00268-007-9084-5"],"URL":"https:\/\/doi.org\/10.1007\/s00268-007-9084-5","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,5,30]]}}}