Endoscopic Esophagogastric Anastomosis With Luminal Apposition Stent (Las) Approch: A New Concept For Hybrid "Lewis Santy"

The surgical management of malignant disease of the esophagus is based on an esophagectomy followed by esophagogastric anastomosis. This procedure has significant morbidity often associated with the occurrence of anastomotic leakage (9-12% of cases). As we demonstrated previously that it is possible to perform endoscopic gastrojejunal anastomosis using luminal apposition stent (LAS), we applied this technique for performing endoscopic esophagogastric anastomosis. The aim of our work was to verify the technical feasibility and the safety of achieving an esophagogastric anastomosis using the hybrid approach (endoscopic and surgical) with LAS method.