Preventing and localizing esophagogastric anastomosis leakage by sleeve-wrapping of the pedicled omentum

Figure 1 Pedicled omentum. Mobilized omentum and harvest of a 10-15-cm-length of pedicled omentum.

Figure 2 Omentum sleeve-wrapped around the esophagus. Sleeve-wrapping of the pedicled omentum around the esophagogastric anastomotic site after esophagectomy. Several sutures were made in the residual esophagus and stomach to avoid tension, and to maintain the position of the omentum between the stomach and esophagus.

Figure 3 Barium examination. Barium swallow examination and X-ray film were performed when anastomotic leakage occurred.

Figure 4 Digestive endoscopy examination. Endoscopic view of the anastomosis was performed when anastomotic leakage occurred postoperatively.