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Upper Gastrointestinal Tract ·

Intrathoracic Side-Overlap Anastomosis Reduces Pain and Reflux

Intrathoracic side-overlap esophagogastrostomy (SOE) shows promise as a viable alternative to circular stapled (CSE) technique in esophagectomy for Siewert type I/II adenocarcinoma.

  • SOE leads to significantly lower postoperative pain scores: 3.49 vs. 4.04 on day one (p=0.002).
  • Severe gastroesophageal reflux is lower with SOE (14.5%) compared to CSE (34.0%) (p=0.019).
  • Dysphagia symptoms are reduced with SOE (9.1% vs. 24.0% in CSE, p=0.038).

Surgeons may consider shifting to SOE for better short-term outcomes in selected patients.

Journal Article by Cheng C, Tang Z (…) Li L et 3 al. in J Gastrointest Surg

Copyright © 2026 Society for Surgery of the Alimentary Tract. Published by Elsevier Inc. All rights reserved.

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