Staple-line buttressing material in gastric-bypass surgery.
The problem of obesity has reached epidemic proportions in the USA. More than 50% of adults are obese or overweight. The only therapeutic intervention that provides effective long-term weight loss for the severely obese is bariatric surgery. Roux-en-Y gastric bypass is the most commonly performed bariatric operation in the USA. Anastomotic leaks can cause life-threatening sepsis in the immediate postoperative period or delayed presentations with fistulas. Fibrin sealant and bovine pericardium have been used to reinforce the anastomosis in order to decrease the rate of this dreaded complication. This review will summarize current literature on the subject.
Lee
Meng-G Martin
MG
Beth Israel Deaconess Medical Center, Department of Surgery, 330 Brookline Avenue, Boston, MA 02215, USA.
Jones
Daniel B
DB
D000714:Anastomosis, Surgical / Q000295:instrumentation* / Q000379:methods; D015390:Gastric Bypass / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D013526:Surgical Mesh; D017792:Surgical Stapling / Q000295:instrumentation* / Q000379:methods; D013537:Sutures