Document Detail

A comparative study of handsewn versus stapled gastrojejunal anastomosis in laparoscopic Roux-en-Y gastric bypass.
MedLine Citation:
PMID:  20927539     Owner:  NLM     Status:  In-Data-Review    
BACKGROUND: The two basic techniques available in which to perform the gastrojejunal (GJ) anastomosis during a laparoscopic Roux-en-Y gastric bypass (LRYGBP) are stapled and handsewn. Few outcomes differences have been noted between the two to recommend one as a superior approach. We present our findings in comparison of the two methods.
METHODS: This is a retrospective review of all patients who underwent LRYGBP at a single institution during a 3-year period. The two different techniques that were used were a linear stapled and handsewn anastomosis with an anastomotic diameter of 18 mm. The groups were compared for postoperative complications, including stricture, anastomotic leak, and the need for early reoperation. All patients were followed up for a minimum period of 8 months.
RESULTS: A total of 222 patients were analyzed after excluding 4 patients: 3 for revisional surgery and 1 for conversion to open. There were 99 patients in the stapled group and 123 in the handsewn group. In both groups, patients were predominantly female. The average age was 42.63 in the stapled group and 44.33 in the handsewn group (P = 0.218). Body mass index was 48.23 in the stapled group and 47.91 in the handsewn group (P = 0.733). Stricture rate in the stapled group was 10.1% (10/99) and 4.1% (5/123) in the handsewn group (P = 0.076). Four patients from the stapled group (4.08%) and six from the handsewn group (4.88%) needed early reoperation. One patient in each group had a GJ anastomotic leak (0.9%). There were no deaths.
CONCLUSIONS: The incidence of anastomotic stricture tends to be lower with a handsewn technique with lower operative time. No difference was appreciated in the anastomotic leak or reexploration rate with either technique.
Amanda J Kravetz; Subhash Reddy; Ghulam Murtaza; Panduranga Yenumula
Related Documents :
23172429 - Lateral orbital rim; open or closed in mammals.
23225929 - Insertion of lma classic™ with and without digital intraoral manipulation in anesthet...
15932559 - Complete rectal prolapse in young patients: psychiatric disease a risk factor of poor o...
14991499 - Prospective, randomized trial comparing diathermy excision and diathermy coagulation fo...
20814519 - A comparative study of barron's rubber band ligation with kshar sutra ligation in hemor...
19548899 - Immunostimulation to reduce recurrence after surgery for anal condyloma acuminata: a pr...
11490129 - Seroma prevention by using corynebacterium parvum in a rat mastectomy model.
24725899 - Successful injection of the acromioclavicular joint with use of ultrasound: anatomy, te...
16506459 - A prospective randomized comparison of rectangular titanium cage fusion and iliac crest...
Publication Detail:
Type:  Journal Article     Date:  2010-10-07
Journal Detail:
Title:  Surgical endoscopy     Volume:  25     ISSN:  1432-2218     ISO Abbreviation:  Surg Endosc     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-03-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8806653     Medline TA:  Surg Endosc     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1287-92     Citation Subset:  IM    
Department of Surgery, Michigan State University, Sparrow Professional Building, 1200 East Michigan Avenue, Ste 655, Lansing, MI, 48912, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Does mesh shrinkage in any way depend upon the method of mesh fixation in laparoscopic incisional he...
Next Document:  Transvaginal laparoscopically assisted endoscopic cholecystectomy: preliminary clinical results for ...