{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:03:36Z","timestamp":1753887816995,"version":"3.41.2"},"reference-count":33,"publisher":"FapUNIFESP (SciELO)","issue":"4","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"abstract":"<jats:p>ABSTRACT  Background: Among the anastomoses of the gastrointestinal tract, those of the esophagus are of special interest due to several anatomical or even general peculiarities.  Aim: Evaluate retrospectively the results comparing mechanical vs. manual suture at cervical esophagogastric anastomosis in megaesophagus treatment.  Methods: Were included 92 patients diagnosed with advanced megaesophagus with clinical conditions to undergo the surgery. All underwent esophageal mucosectomy, performing anastomosis of the esophagus stump with the gastric tube at the cervical level. In order to make this anastomosis, the patients were divided into two groups: group A (n=53) with circular mechanical suture, lateral end; group B (n=39) with manual suture in two sides, lateral end. In the postoperative period, an early evaluation was performed, analyzing local and systemic complications and late (average 5.6 y) analyzing deglutition.  Results: Early evaluation: a) dehiscence of esophagogastric anastomosis n=5 (9.4%) in group A vs. n=9 (23.0%) in group B (p=0.0418); b) stenosis of esophagogastric anastomosis n=8 (15.1%) in group A vs. n=15 (38.4%) in group B (p=0.0105.); c) pulmonary infection n=5 (9.4%) in group A vs. n=3 (7.6%) in group B (p=1.0000.); d) pleural effusion n=5 (9.4%) in group A vs. n=6 (15.4%) in group B (p&lt;0.518). Late evaluation showed that 86.4-96% of the patients presented the criteria 4 and 5 from SAEED, expressing effective swallowing mechanisms without showing significant differences among the groups.  Conclusion: Cervical esophagogastric anastomosis by means of mechanical suture is more proper than the manual with lower incidence of local complications and, in the long-term evaluation, regular deglutition was acquired in both suture techniques in equal quality.<\/jats:p>","DOI":"10.1590\/0102-672020190001e1462","type":"journal-article","created":{"date-parts":[[2019,12,20]],"date-time":"2019-12-20T13:07:28Z","timestamp":1576847248000},"source":"Crossref","is-referenced-by-count":1,"title":["COMPARATIVE ANALYSIS OF LATE RESULTS OF CERVICAL ESOPHAGOGASTRIC ANASTOMOSIS BY MANUAL AND MECHANICAL SUTURE IN PATIENTS SUBMITTED TO ESOPHAGEAL MUCOSECTOMY THROUGH ADVANCED MEGAESOPHAGUS"],"prefix":"10.1590","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0604-9054","authenticated-orcid":false,"given":"Jos\u00e9 Luis Braga de","family":"AQUINO","sequence":"first","affiliation":[{"name":"Pontifical Catholic University of Campinas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2859-0228","authenticated-orcid":false,"given":"Vania Aparecida","family":"LEANDRO-MERHI","sequence":"additional","affiliation":[{"name":"Pontifical Catholic University of Campinas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1689-6705","authenticated-orcid":false,"given":"Jos\u00e9 Alexandre","family":"MENDON\u00c7A","sequence":"additional","affiliation":[{"name":"Pontifical Catholic University of Campinas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4251-8185","authenticated-orcid":false,"given":"Elisa Donalisio Teixeira","family":"MENDES","sequence":"additional","affiliation":[{"name":"Pontifical Catholic University of Campinas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5889-8149","authenticated-orcid":false,"given":"Concei\u00e7\u00e3o de Maria Aquino Vieira","family":"CLAIRET","sequence":"additional","affiliation":[{"name":"Pontifical Catholic University of Campinas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2092-414X","authenticated-orcid":false,"given":"Leonardo Oliveira","family":"REIS","sequence":"additional","affiliation":[{"name":"Pontifical Catholic University of Campinas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2019]]},"reference":[{"issue":"5","key":"ref1","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1590\/S0100-69912009000100006","article-title":"Avalia\u00e7\u00e3o da anastomose esofagogastrica cervical com sutura mec\u00e2nica e manual em pacientes com megaesofago avan\u00e7ado","volume":"36","author":"Aquino JLB","year":"2009","journal-title":"Rev Col Bras Cir"},{"issue":"2","key":"ref2","first-page":"1","article-title":"Early and late assessment of the surgical treatment of the pharyngoesophageal diverticulum by mechanical and manual suture","volume":"2","author":"Aquino JLB","year":"2017","journal-title":"Otorhinolaryngol Head Neck Surg"},{"key":"ref3","first-page":"167","article-title":"Non-conventional surgical approach to achalasia mucosectomy and endomuscular pull-through","volume":"1","author":"Aquino JLB","year":"2017","journal-title":"Mini-invasive Surg"},{"issue":"1","key":"ref4","first-page":"75","article-title":"Anastomose esofagovisceral sutura manual ou mec\u00e2nica? Quando a sutura mec\u00e2nica \u00e9 realmente vantajosa?","volume":"12","author":"Aquino JLB","year":"1997","journal-title":"ABCD Arq Bras Cir Dig"},{"issue":"3","key":"ref5","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1590\/S0100-69912005000300009","article-title":"Avalia\u00e7\u00e3o da anastomose esofagog\u00e1strica cervical com sutura mec\u00e2nica em pacientes com megaes\u00f4fago avan\u00e7ado","volume":"32","author":"Aquino JLB","year":"2005","journal-title":"Rev Col Bras Cir"},{"key":"ref6","first-page":"109","article-title":"Mucosectomia esof\u00e1gica no tratamento do megaes\u00f4fago avan\u00e7ado analise de 60 casos","volume":"27","author":"Aquino JLB","year":"2000","journal-title":"Rev Col Bras Cir"},{"issue":"1","key":"ref7","first-page":"19","article-title":"Avalia\u00e7\u00e3o tardia da mucosectomia esofagica com conserva\u00e7\u00e3o da t\u00fanica muscular em pacientes com megaes\u00f4fago avan\u00e7ado","volume":"34","author":"Aquino 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French Associations for Surgical Research","volume":"120","author":"Valverde A","year":"1996","journal-title":"Surgery"},{"issue":"4","key":"ref32","first-page":"513","article-title":"A comparison of the flow of iodine 125 through three different anastomosis standard,gambee, staple","volume":"62","author":"Wheeless CR","year":"1993","journal-title":"Obstetric Gynecol"},{"issue":"4","key":"ref33","first-page":"408","article-title":"Esophagogastric anastomosis performed with a stapler the occurrence of leakage and stricture","volume":"101","author":"Wong J","year":"1987","journal-title":"Surgery"}],"container-title":["ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S\u00e3o Paulo)"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/abcd\/v32n4\/0102-6720-abcd-32-04-e1462.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,7,31]],"date-time":"2020-07-31T23:34:02Z","timestamp":1596238442000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-67202019000400301&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019]]},"references-count":33,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2019]]}},"alternative-id":["S0102-67202019000400301"],"URL":"https:\/\/doi.org\/10.1590\/0102-672020190001e1462","relation":{},"ISSN":["2317-6326","0102-6720"],"issn-type":[{"type":"electronic","value":"2317-6326"},{"type":"print","value":"0102-6720"}],"subject":[],"published":{"date-parts":[[2019]]},"article-number":"e1462"}}