[Mechanical sutures in esophageal surgery (author's transl)].

Hospital lethality in patients with esophagoenteral anastomosis is high: in carcinoma of the esophagus, it is about 30%; in total gastrectomy for carcinoma, it is 43.6%. In both cases, sutureline insufficiency is responsible for more than 43%. As our results indicate, anastomosis with the EEA is the fastest and most secure in all esophagoenteral junctions if it is secured by invagination or covered by serosa. This is shown by our results in patients with carcinoma of the esophagus and stomach, as well as in dissecting procedures in patients with esophagus varices.