title: [Use of mechanical staplers in biliopancreatic diversion intervention].
abstract: The use of mechanical staplers in general surgery and in particularity in biliopancreatic diversion (BPD) has led to a marked reduction in the duration of surgery, thus requiring shorter anesthesia times. In obese subjects this also serves to reduce the risks related to their particular clinical and metabolic conditions. The authors report their experience in 53 patients; in 26 cases automatic linear staplers were used to create the ileal-duodenal and gastric tomy only, whereas the entero-entero anastomosis and gastro-entero anastomosis were performed manually using a biliopancreatic diversion technique. In the remaining 27 cases the operation was performed exclusively using automatic staplers. The paper then examines the complications arising from the use of mechanical staplers, dividing them into early and late. Among the first were two episodes of GEA hemorrhage (7.4%) and an asymptomatic fistula again of the GEA (3.7%). The late complications only included two stenoses (7.4%) of the GEA, both resolved using endoscopic pneumatic dilation.
authors.affiliation: Dipartimento di Discipline Chirurgiche ed Anatomiche, Università degli Studi di Palermo.
authors.forename: N
authors.initials: N
authors.lastname: Grassi
authors.forename: G
authors.initials: G
authors.lastname: Pantuso
authors.forename: L
authors.initials: L
authors.lastname: Salanitro
authors.forename: G
authors.initials: G
authors.lastname: Ricevuto
authors.forename: G
authors.initials: G
authors.lastname: Pischedda
authors.forename: M T
authors.initials: MT
authors.lastname: Attanzio
authors.forename: G
authors.initials: G
authors.lastname: Barranco
authors.forename: M
authors.initials: M
authors.lastname: Latteri
authors.forename: G
authors.initials: G
authors.lastname: Bajardi
mesh_terms: D015904:Biliopancreatic Diversion; D006801:Humans; D009767:Obesity, Morbid / Q000601:surgery; D011183:Postoperative Complications; D013528:Surgical Staplers / Q000009:adverse effects
vernacular_title: L'impiego delle suturatrici meccaniche nell'intervento di diversione biliopancreatica (BPD).