Single-layer continuous suture for gastrojejunostomy.
A variety of techniques are available for the construction of a gastrojejunostomy. Little information is available regarding the influence of anastomotic technique on functional outcome, particularly delayed gastric emptying and other postgastrectomy syndromes. Twenty-seven cases were reviewed in which single-layer continuous suture was used for gastrojejunostomy. Most patients underwent pancreatoduodenectomy, subtotal gastrectomy, or gastrojejunal bypass for malignant obstruction. There were no anastomotic leaks. A regular diet was tolerated at a median of 6 days. There were no cases of delayed gastric emptying, and follow-up to date demonstrates a low incidence of postgastrectomy morbidity.
Brodsky
J T
JT
Department of Surgery, Medical College of Pennsylvania and Hahnemann University, Philadelphia, USA.
Dadian
N
N
D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D005260:Female; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D007582:Jejunostomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013536:Suture Techniques