Commentary: Hand-sewn or stapled esophageal anastomosis: Ask not what your anastomosis can do for you, but what you can do for your esophageal anastomosisCentral Message

Esophagogastric anastomosis is a critical component of esophagectomy; anastomotic failures contribute to short-term and long-term morbidity as well as mortality.1 To improve outcomes, there are many opportunities to optimize anastomotic healing through pre-resectional approaches to intraoperative technique combined with anastomotic adjuncts. A preoperative approach to conduit augmentation can involve ischemic preconditioning of the gastric conduit via preoperative transarterial embolization of left gastric, right gastric and splenic arteries (2) to make the gastric blood supply dependent on the right gastroepiploic artery.

Abstract licence: CC BY-NC-ND

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