Esophagojejunostomy after total gastrectomy shows high mortality and morbidity. Complication after esophagojejunostomy was caused by constant tension on esophagojejunostomy in erect-position, resulting in disturbance of blood flow in the anastomotic site. The purpose is to evaluate efficacy of anchoring sutures. Medical charts of patients diagnosed with gastric cancer who underwent total gastrectomy from 1998 to 2008 were analyzed retrospectively. Anchoring suture between jejunum and diaphragm after esphagojejunostomy was performed in all patients. A total of 155 patients were enrolled. Esophagojejunostomy leakage 3, revision operation 2, and conservation 1. Esophagojejunostomy stenosis 1, which was improved by balloon. This procedure could protect the esophagojejunostomy site from traction force.

서론
 연구방법
  연구 대상
  수술 방법
  합병증 평가 및 분류 방법
  조사 항목
  자료분석
 연구결과
  임상병리학적 특징
  합병증의 분류
  합병증 발생과 임상병리학적 요인과의 관련성
 고찰
 결론
 참고문헌

• 김지훈(조선대학교 의학전문대학원 외과학교실) | Ji Hoon Kim
• 김성수(조선대학교 의학전문대학원 외과학교실) | Sung Soo Kim
• 민영돈(조선대학교 의학전문대학원 외과학교실) | Young Don Min Corresponding author