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AIM: Evaluate whether endoscopic examination can reduce early postoperative anastomosis-related complications. METHODS: Retrospective analysis of 160 gastric cancer patients undergoing laparoscopic total gastrectomy with circular-stapler esophagojejunostomy (Jan 2020-Dec 2023), comparing intraoperative endoscopic examination versus no intraoperative endoscopy. RESULTS: Anastomotic defects were detected in 8.8% with intraoperative endoscopy and none developed postoperative complications (0%) versus 7.5% in the non-IEE group. CONCLUSION: Routine intraoperative endoscopic examination enables immediate detection and repair, significantly reducing early anastomotic complications.",{"@graph":69,"@context":127},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/reducing-anastomotic-complications-with-endoscopy-in-laparoscopic-total-gastrectomy/406523/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/reducing-anastomotic-complications-with-endoscopy-in-laparoscopic-total-gastrectomy/406523.png","ImageObject",300,407,{"name":92,"@type":93},"eBook King","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-31","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",13,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119,123],{"name":110,"@type":111,"acceptedAnswer":112},"What was the primary purpose of this retrospective study?","Question",{"text":113,"@type":114},"To determine whether intraoperative endoscopic examination can reduce early postoperative anastomosis-related complications in esophagojejunostomy using a circular stapler.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How were patients grouped in the study?",{"text":118,"@type":114},"Patients who had intraoperative endoscopic examination were placed in the IEE group, while patients without intraoperative endoscopy were placed in the non-IEE (NIEE) group.",{"name":120,"@type":111,"acceptedAnswer":121},"What were the key outcome differences between groups?",{"text":122,"@type":114},"The IEE group had no postoperative anastomotic complications (0%), while the NIEE group showed a significantly higher incidence of postoperative anastomosis-related complications (7.5%, P=0.029).",{"name":124,"@type":111,"acceptedAnswer":125},"How did intraoperative endoscopy affect management of detected defects?",{"text":126,"@type":114},"Detected anastomotic defects were repaired immediately intraoperatively, including additional suturing, laparoscopic suturing for bleeding, endoscopic clips for bleeding, and intraoperative correction of stricture; one case required redo anastomosis after full-thickness tearing.","https://schema.org",{"og:url":83,"og:type":129,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":131,"canonical":83},"index,follow",{"doc_id":133,"site_id":62},406523,1790617870,{"code":4,"msg":5,"data":136},{"doc_id":133,"user_id":137,"nickname":92,"user_avatar":138,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":139,"file_id":140,"file_url":141,"file_type":142,"file_size":143,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":52,"language":144,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":145,"faqs":146,"seo_title":147,"seo_description":67,"update_tm":148,"read_time":149,"preview_page_count":4},962088006270,"https://ap-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","| W | J | G | S | World Journal of\u003Cbr>Gastrointestinal Surgery |\n| --- | --- | --- | --- | --- |\n\nSubmit a Manuscript: [https://www.f6publishing.com](https://www.f6publishing.com) World J Gastrointest Surg 2025 December 27; 17(12): 114079  \nDOI: 10.4240/wjgs.v17.i12.114079 ISSN 1948-9366 (online)  \nORIGINAL ARTICLE  \nRetrospective Study  \nReducing anastomotic complications with endoscopy in laparoscopic total gastrectomy  \nLei Gong, Jing Yu, Zhen-Bing Lv, Xiang-Zhi Qin, Min Li, Wei Guo, Bin Huang, Yun-Hong Tian  \nSpecialty type: Gastroenterology and hepatology  \nProvenance and peer review:  \nUnsolicited article; Externally peer reviewed.  \nPeer-review model: Single blind  \nPeer-review report’s classification Scientific Quality: Grade B  \nNovelty: Grade B  \nCreativity or Innovation: Grade C  \nScientific Significance: Grade C  \nP-Reviewer: Gong Y, Assistant Professor, China  \nReceived: September 11, 2025  \nRevised: September 23, 2025  \nAccepted: October 27, 2025  \nPublished online: December 27, 2025  \nProcessing time: 105 Days and 16.7 Hours  \nLei Gong, Jing Yu, Zhen-Bing Lv, Xiang-Zhi Qin, Min Li, Wei Guo, Bin Huang, Yun-Hong Tian,  \nDepartment of General Surgery, Beijing Anzhen Nanchong Hospital of Capital Medical  \nUniversity & Nanchong Central Hospital, Nanchong 637000, Sichuan Province, China Co-first authors: Lei Gong and Jing Yu.  \nCorresponding author: Yun-Hong Tian, MD, PhD, Chief Physician, Professor, Department of General Surgery, Beijing Anzhen Nanchong Hospital of Capital Medical University & Nanchong Central Hospital, No. 97 Renmin South Road, Shunqing District, Nanchong 637000, Sichuan Province, [China.](China. drtianyunhong@126.com)[ drtianyunhong@126.com](China. drtianyunhong@126.com)  \nAbstract  \nBACKGROUND  \nEarly postoperative anastomosis-related complications are frequently associated with technical defects during the anastomotic procedure. Few studies focused on intraoperative anastomotic complications in esophagojejunostomy with circular stapler.  \nAIM  \nTo explore whether endoscopic examination could reduce the occurrence of early postoperative anastomotic complications.  \nMETHODS  \nClinical data from 160 patients with gastric cancer who underwent laparoscopic total gastrectomy with esophagojejunostomy using a circular stapler at Nanchong Central Hospital from January 2020 to December 2023 were retrospectively analyzed. Based on whether intraoperative endoscopic examination (IEE) was performed, patients were divided into the IEE group and the non-IEE (NIEE) group.  \nRESULTS  \nAll patients successfully underwent laparoscopic total gastrectomy with esophagojejunostomy using a circular stapler. In the IEE group, 7 (8.8%) patients were found to have anastomotic defects: 3 (3.8%) air leaks, 2 (2.5%) bleeding, 1 (1.3%) stricture and 1 (1.3%) full-thickness tearing. Three patients with anastomotic discontinuities were subsequently treated with additional suturing. One anastomotic bleeding was managed with laparoscopic suturing, and another was treated with endoscopic clips. One patient had anastomotic stricture, which was corrected intraoperatively. One patient experienced full-thickness tearing caused by the  \n WJGS  [https://www.wjgnet.com](https://www.wjgnet.com) 1 December 27, 2025  Volume 17  Issue 12   \nGong L et al. Endoscopic assessment for anastomotic complications in LTG  \ncircular stapler, necessitating a redo anastomosis. These anastomotic defects were repaired intraoperatively, and no postoperative anastomotic complications occurred. 6 (7.5%) patients with postoperative anastomotic complications were observed in the NIEE group. The NIEE group had a significantly higher incidence of postoperative anastomosis-related complications compared to the IEE group (7.5% vs 0%; P = 0.029) .  \nCONCLUSION  \nRoutine IEE significantly reduces early anastomotic complications by enabling immediate detection and repair of technical defects in esophagojejunostomy with circular stapler.  \nKey Words: Gastric cancer; Lap","cbCaiioX5HvjpbCm","https://ap.wps.com/l/cbCaiioX5HvjpbCm","pdf",6001028,"English","# Abstract\n## Background\n## Aim\n## Methods\n## Results\n## Conclusion\n# Introduction\n# Core Tip\n# Citation","[{\"question\":\"What was the primary purpose of this retrospective study?\",\"answer\":\"To determine whether intraoperative endoscopic examination can reduce early postoperative anastomosis-related complications in esophagojejunostomy using a circular stapler.\"},{\"question\":\"How were patients grouped in the study?\",\"answer\":\"Patients who had intraoperative endoscopic examination were placed in the IEE group, while patients without intraoperative endoscopy were placed in the non-IEE (NIEE) group.\"},{\"question\":\"What were the key outcome differences between groups?\",\"answer\":\"The IEE group had no postoperative anastomotic complications (0%), while the NIEE group showed a significantly higher incidence of postoperative anastomosis-related complications (7.5%, P=0.029).\"},{\"question\":\"How did intraoperative endoscopy affect management of detected defects?\",\"answer\":\"Detected anastomotic defects were repaired immediately intraoperatively, including additional suturing, laparoscopic suturing for bleeding, endoscopic clips for bleeding, and intraoperative correction of stricture; one case required redo anastomosis after full-thickness tearing.\"}]","Reducing anastomotic complications with endoscopy in laparoscopic total gastrectomy | PDF",1790566221,25]