title: An alternative linear stapling technique for performing Roux-en-Y anastomosis.
abstract: BACKGROUND
  The use of stapling devices for performing gastrointestinal anastomosis has gained wide acceptance in the last decade. Linear cutting devices have been used routinely during gastrointestinal operations in our hospital since 1992. However, we still have shortage of stapling devices due to cost reduction politics.
  
  
  METHODS
  We propose a modification of the standard technique in order to reduce the number of devices used. Our technique employs a single stapled including the section of the jejunum and the side-to-side jejunoanastomosis.
  
  
  RESULTS
  We have used this technique for 1 year without complications related to the stapled anastomosis.
  
  
  CONCLUSIONS
  This technique may reduce the time of reconstruction of Roux-en-Y anastomosis without interfering in its final result. This modified technique may be useful in hospitals with reduced economic resources.
authors.affiliation: Department of Abdominal Surgery, Cancer Hospital, São Paulo, Brazil.
authors.forename: Marcel Autran C
authors.initials: MA
authors.lastname: Machado
authors.forename: Paulo
authors.initials: P
authors.lastname: Herman
authors.forename: André L
authors.initials: AL
authors.lastname: Montagnini
authors.forename: Rony
authors.initials: R
authors.lastname: Eshkenazy
authors.forename: Danton Spohr
authors.initials: DS
authors.lastname: Corrêa
authors.forename: Marcel C C
authors.initials: MC
authors.lastname: Machado
mesh_terms: D000368:Aged; D000713:Anastomosis, Roux-en-Y / Q000191:economics / Q000295:instrumentation / Q000379:methods; D003363:Cost Control; D013505:Digestive System Surgical Procedures / Q000191:economics / Q000379:methods*; D005260:Female; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013537:Sutures / Q000191:economics