A Technique of Stapled Gastrojejunostomy for Open Gastric Bypass Results in Increased Wound Complication-Rate
| Autor: | David L.S. Morales, Marc Bessler, John D. Madigan |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Adult
Male medicine.medical_specialty Incisional hernia Endocrinology Diabetes and Metabolism medicine.medical_treatment Gastric bypass Gastric Bypass Jejunostomy Two layer Anastomosis Surgical Staplers Weight loss Laparotomy Surgical Wound Dehiscence Weight Loss medicine Humans Surgical Wound Infection Laparoscopy Retrospective Studies Gastrostomy Nutrition and Dietetics medicine.diagnostic_test business.industry medicine.disease Obesity Morbid Surgery Hospitalization Female Wound complication medicine.symptom business |
| Zdroj: | Obesity Surgery. 10:230-232 |
| ISSN: | 1708-0428 0960-8923 |
| Popis: | Background: Gastric bypass may be facilitated by a stapled gastrojejunostomy.This study compared two different techniques for performing this critical anastomosis in open surgery. Methods: 67 consecutive patients were retrospectively studied for weight loss, hospital length of stay, anastomotic stricture, wound complication, and incisional hernia. 49 patients had a two layer handsutured gastrojejunostomy over a 34 Fr bougie via a laparotomy (sutured). 18 patients had a stapled gastrojejunostomy using the technique of Wittgrove and Clark via a laparotomy (stapled). All patients received prophylactic intravenous antibiotics preoperatively. Results: Initial BMI, % of excess weight lost at 6 weeks and 6 months, and hospital length of stay were not statistically different between the groups. However, the rate of wound complication and incisional hernia rate were significantly higher in the stapled group when compared to the sutured group (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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