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ORIGINAL RESEARCH article

Front. Oncol.
Sec. Gastrointestinal Cancers: Gastric and Esophageal Cancers
Volume 14 - 2024 | doi: 10.3389/fonc.2024.1481278

Risk factors of esophagojejunal anastomotic leakage after total gastrectomy for gastric and Siewert type II/III esophagogastric cancer: a retrospective analysis from a tertiary hospital

Provisionally accepted
Junjie Liu Junjie Liu 1Jinzhi Hu # Jinzhi Hu # 2Jiaming Fang Jiaming Fang 1Yingliang Chen Yingliang Chen 1Yonghe Chen Yonghe Chen 1He Jiasheng He Jiasheng 1Zijian Deng Zijian Deng 1Jun-Sheng Peng Jun-Sheng Peng 1Lei Lian Lei Lian 1Shi Chen Shi Chen 1*
  • 1 Department of Gastroenterology, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
  • 2 The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou, China

The final, formatted version of the article will be published soon.

    To detect the risk factors associated with esophagojejunal anastomotic leakage (EJAL) after total gastrectomy for gastric and Siewert type II/III esophagogastric cancer.The data for 609 patients underwent Roux-en-Y esophagojejunostomy after total gastrectomy between March 2015 and March 2021 were reviewed. Univariate and multivariate analyses were performed to evaluate the risk factors.Results: EJAL was observed in 48 (7.9%) of 609 patients. Univariate analysis revealed that gender, the number of comorbidities (hypertension, diabetes mellitus, coronary heart disease and chronic obstructive pulmonary disease), postoperative serum albumin, tumor location, duration of operation were risk factors associated with EJAL. Patients who had the following factors including male, the number of comorbidities ≥ 2, postoperative serum albumin ＜ 35 g/L, tumor location was esophagogastric junction, duration of operation ≥ 260 min were more likely to develop EJAL than those who had not. Multivariate analysis revealed that the number of comorbidities (OR 3.464, 95% CI 1.178 -10.189, p = 0.024) and duration of operation (OR 2.657, 95% CI 1.242 -5.685, p = 0.012) were independent risk factors associated with EJAL.Conclusions: More morbidities and prolonged operative duration were independently associated with EJAL after total gastrectomy for gastric and Siewert type II/III esophagogastric cancer. This study indicates the necessity for careful management of these high-risk patients.

    Keywords: Esophagojejunal anastomotic leakage, laparoscopic surgery, Total gastrectomy, gastric cancer, Esophagogastric cancer

    Received: 15 Aug 2024; Accepted: 28 Oct 2024.

    Copyright: © 2024 Liu, Hu #, Fang, Chen, Chen, Jiasheng, Deng, Peng, Lian and Chen. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Shi Chen, Department of Gastroenterology, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou, China

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