A Simple Modification to Facilitate the H Anastomosis: Making the Mucosal Insertion Step Reproducible

Annals of thoracic surgery short reports Pub Date : 2026-09-01 Epub Date: 2026-01-29 DOI:10.1016/j.atssr.2026.01.008

Zhenzhong Zhang MD, Yang Hu MD, Jianqiang Zhao MD, Derong Tang MD, Zhiyun Xu MD

{"title":"A Simple Modification to Facilitate the H Anastomosis: Making the Mucosal Insertion Step Reproducible","authors":"Zhenzhong Zhang MD, Yang Hu MD, Jianqiang Zhao MD, Derong Tang MD, Zhiyun Xu MD","doi":"10.1016/j.atssr.2026.01.008","DOIUrl":null,"url":null,"abstract":"<div><div>H anastomosis is an emerging technique for esophagogastric reconstruction with promising perioperative outcomes thanks to its antileakage and antireflux design. However, inserting the sutured mucosal bridge into the gastric lumen remains technically challenging. Many surgeons attempting to reproduce the procedure find it difficult to understand the original intent and manipulation of the inventor. We propose a simple modification: a monofilament suture is passed beneath the mucosal bridge, then looped and fixed with a Rumel tourniquet, which assists in smoothly drawing the mucosa into the stomach. This modification improves procedural clarity, operability, and reproducibility, which may support broader clinical adoption.</div></div><div>H anastomosis is an emerging technique for esophagogastric reconstruction with promising perioperative outcomes thanks to its antileakage and antireflux design. However, inserting the sutured mucosal bridge into the gastric lumen remains technically challenging. Many surgeons attempting to reproduce the procedure find it difficult to understand the original intent and manipulation of the inventor. We propose a simple modification: a monofilament suture is passed beneath the mucosal bridge, then looped and fixed with a Rumel tourniquet, which assists in smoothly drawing the mucosa into the stomach. This modification improves procedural clarity, operability, and reproducibility, which may support broader clinical adoption.</div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"4 3","pages":"Pages 1011-1014"},"PeriodicalIF":0.0000,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of thoracic surgery short reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2772993126000264","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/1/29 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

H anastomosis is an emerging technique for esophagogastric reconstruction with promising perioperative outcomes thanks to its antileakage and antireflux design. However, inserting the sutured mucosal bridge into the gastric lumen remains technically challenging. Many surgeons attempting to reproduce the procedure find it difficult to understand the original intent and manipulation of the inventor. We propose a simple modification: a monofilament suture is passed beneath the mucosal bridge, then looped and fixed with a Rumel tourniquet, which assists in smoothly drawing the mucosa into the stomach. This modification improves procedural clarity, operability, and reproducibility, which may support broader clinical adoption.

查看原文本刊更多论文

简化H吻合术：使粘膜插入步骤可重复

H吻合术是一种新兴的食管胃重建技术，由于其抗渗漏和抗反流设计，围手术期效果良好。然而，将缝合的粘膜桥插入胃管腔在技术上仍然具有挑战性。许多外科医生试图重现这一过程，却发现很难理解发明者的初衷和操作。我们提出了一个简单的修改：在粘膜桥下通过单丝缝合线，然后用鲁梅尔止血带环住并固定，这有助于粘膜顺利进入胃。h吻合术是一种新兴的食管胃重建技术，由于其抗渗漏和抗反流设计，围手术期效果良好。然而，将缝合的粘膜桥插入胃管腔在技术上仍然具有挑战性。许多外科医生试图重现这一过程，却发现很难理解发明者的初衷和操作。我们提出了一个简单的修改：在粘膜桥下通过单丝缝合线，然后用鲁梅尔止血带环住并固定，这有助于粘膜顺利进入胃。这种修改提高了程序的清晰度、可操作性和可重复性，这可能支持更广泛的临床应用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Annals of thoracic surgery short reports Surgery

自引率

0.00%

发文量

审稿时长

53 days