{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:02:43Z","timestamp":1777921363682,"version":"3.51.4"},"reference-count":8,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T00:00:00Z","timestamp":1569888000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic & Advanced Surgical Techniques"],"published-print":{"date-parts":[[2019,10,1]]},"abstract":"Abstract<\/jats:title>\n \n Background:<\/jats:title>\n Esophagojejunostomy is facilitated by use of a circular stapler, particularly when performed laparoscopically. The minimum patient size that will allow use of circular staplers in the small intestine is unknown.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n Retrospective review of esophagogastric dissociations performed at a single tertiary care institution for 48 months. This was combined with a geometric derivation of a size-estimation formula.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n From the 7 cases identified, patients weighing >16\u2009kg easily accommodated the 21\u2009mm stapler. There was a narrow fit in the patient weighing 13.6\u2009kg, and the 6\u2009kg patient was too small for the stapler.<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Through a combination of clinical observation and physical reasoning, circular stapler applicability in small intestine is predicted by patient weight or intestinal measurement. Patients weighing >16\u2009kg will accept the stapler, whereas patients <13\u2009kg are likely too small. Alternately, on the basis of a geometric derivation, if the width of the flat intestine is >1.6\u2009\u00d7\u2009the device diameter, the device will fit. This calculation can be applied broadly (e.g., incision length for laparoscopic ports or single-port access devices).<\/jats:p>\n <\/jats:sec>","DOI":"10.1089\/lap.2019.0092","type":"journal-article","created":{"date-parts":[[2019,9,24]],"date-time":"2019-09-24T10:27:51Z","timestamp":1569320871000},"page":"1311-1314","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Esophagojejunal Anastomosis by Circular Stapler in Pediatric Patients: Size Minima Defined by Experience and Geometry"],"prefix":"10.1177","volume":"29","author":[{"given":"Ramin","family":"Jamshidi","sequence":"first","affiliation":[{"name":"Pediatric General and Thoracic Surgery, Children's Hospital of Wisconsin, Milwaukee, Wisconsin."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John C.","family":"Densmore","sequence":"additional","affiliation":[{"name":"Pediatric General and Thoracic Surgery, Children's Hospital of Wisconsin, Milwaukee, Wisconsin."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David M.","family":"Gourlay","sequence":"additional","affiliation":[{"name":"Pediatric General and Thoracic Surgery, Children's Hospital of Wisconsin, Milwaukee, Wisconsin."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dave R.","family":"Lal","sequence":"additional","affiliation":[{"name":"Pediatric General and Thoracic Surgery, Children's Hospital of Wisconsin, Milwaukee, Wisconsin."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Casey M.","family":"Calkins","sequence":"additional","affiliation":[{"name":"Pediatric General and Thoracic Surgery, Children's Hospital of Wisconsin, Milwaukee, Wisconsin."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,10,14]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(97)90304-3"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2010.04.022"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2006.01.013"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2008.0291"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2009.06.020"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2012.07.006"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-010-1041-y"},{"key":"e_1_3_2_9_2","unstructured":"Ethicon endo-surgery product specifications. www.ees.com\/clinicians\/products\/staplers\/circular\/circular-intraluminal#!description-and-specs (accessed November14 2012)."}],"container-title":["Journal of Laparoendoscopic & Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/lap.2019.0092","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2019.0092","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2019.0092","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:52:34Z","timestamp":1777665154000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/lap.2019.0092"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10,1]]},"references-count":8,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2019,10,1]]}},"alternative-id":["10.1089\/lap.2019.0092"],"URL":"https:\/\/doi.org\/10.1089\/lap.2019.0092","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,10,1]]}}}