Compression anastomosis clip for gastrointestinal anastomosis.
OBJECTIVE
To investigate the feasibility of compression anastomosis clip (CAC) for gastrointestinal anastomosis proximal to the ileocecal junction.


METHODS
Sixty-six patients undergoing gastrointestinal anastomosis proximal to the ileocecal junction were randomized into two groups according to the anastomotic method, CAC or stapler.


RESULTS
The postoperative recovery of patients in CAC and stapled anastomosis groups was similar. No postoperative complication related to the anastomotic method was found in either group. Both upper gastrointestinal contrast radiography at the early postoperative course and endoscopic examination after a 6-mo follow-up showed a better healing at the compression anastomosis.


CONCLUSIONS
CAC can be used not only in colonic surgery but also in gastrointestinal anastomosis. Our result strongly suggests that CAC anastomosis is safe in various complication circumstances. However, it should be further confirmed with a larger patient sample.
Liu
Pi-Chu
PC
Department of General Surgery, Jinling Hospital, 305 Zhongshan East Road, Nanjing, Jiangsu Province, China.
Jiang
Zhi-Wei
ZW
Zhu
Xiao-Lin
XL
Wang
Zhi-Ming
ZM
Diao
Yan-Qing
YQ
Li
Ning
N
Li
Jie-Shou
JS