Kirschner Esophageal-Gastric Anastomosis

Kirchner esophagogastric anastomosis is a surgical operation that is used to connect the esophagus and stomach in order to restore the patency of the esophagus after injury or removal of part of the stomach.

Kirchner was the first to describe this operation in 1953. He used a special suture material for this, which made it possible to create a strong and airtight seam.

The operation is performed under general anesthesia and takes about 2-3 hours. During the operation, the surgeon makes an incision in the front wall of the abdomen and finds the esophagus and stomach. He then joins them using a Kirschner suture.

After the operation, the patient remains in the hospital for about a week and then is discharged home. For several days after surgery, you must follow a diet and avoid strenuous physical activity.

The Kirschner suture is one of the most effective methods for connecting the esophagus and stomach. It allows you to restore the patency of the esophagus and prevent the development of complications, such as reflux of gastric contents into the esophagus, which can lead to the development of gastroesophageal reflux disease.

**Kirchner anastomosis** is a surgical operation that is performed when a complication of cancer develops, the esophagus or stomach. The method was first proposed in 1971 by American surgeon John Kirchner. This method solves the problem of restoring the esophagus and esophageal patency.

**The Kirschner procedure** involves performing two surgeries on the same day. The first operation under anesthesia: a thin tube is inserted into the stomach and esophagus, after which the second end of the tube is attached to the connecting anastomosis in the abdominal cavity. Then a second procedure is performed: the anastomosis itself between the stomach and esophagus is restored, i.e. a new path for food to pass through is formed. This operation continues for about 3 hours.

The Kirschner procedure can be performed in various cases of complicated cancer or surgery on the stomach or esophagus. This may be due to conditions such as dysphagia (difficulty swallowing), esophageal stricture (narrowing of the esophagus), esophageal obstruction, or esophageal bleeding. During the first operation, the surgeon looks for any obstruction to the passage of food, and then performs restoration procedures - anasto