Long term results of the use of compression anastomosis clips (CAC) in gastrointestinal surgery – the first report

• Authors: Katarzyna Kuśnierz , Paweł Lampe
• Languages of publication: EN

Abstracts

EN

The aim of the study was to present the first long-term results on the clinical use of compression anastomosis clips (CAC) in upper and lower gastrointestinal tract anastomoses. Material and methods. The study included 50 patients who underwent anastomosis of the upper (n = 32) or lower GI tract (n = 18) with the use of CAC. In the period of 6‑7 months after the surgery, patients underwent endoscopic examination and computed tomography evaluation of the anastomosis. Each anastomosis was evaluated macro and microscopically. The width of anastomoses was evaluated using a 4-point-scale for grading stenosis. Results. Of the 50 patients who underwent anastomosis with compression anastomosis clip, 28 (56%) patients reported to the follow-up examination within 190‑209 days of the execution of the anastomosis. Among the 22 patients who did not report to the study, 18 (36%) patients died within 91‑154 days from the execution of the anastomosis (mean 122 days), 4 (8%) patients were impossible to contact after discharge from hospital. Two mild stenoses (I0) were diagnosed; 1 of them was found in the gastroenterostomy and 1 in Braun enteroenterostomy. Microscopic changes were diagnosed in 4 anastomoses (3 gastroenterostomies, 1 Braun enteroenterostomy). Anastomoses were well-formed and wide, scars in the line of anastomoses were thin. Conclusions. During the period of 6 months after the anastomoses performed using CAC have been formed, they were evaluated as unobstructed and functioning properly; therefore, they can be safely performed within the upper and lower gastrointestinal tract.

Keywords

EN

compression anastomosis clip; gastrointestinal anastomoses; long term results; stenosis

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2015
• Volume: 87
• Issue: 6
• Pages: 295-300

Dates

published

1 - 6 - 2015

received

10 - 4 - 2015

online

4 - 8 - 2015

Contributors

author

Katarzyna Kuśnierz

• Department of Gastrointestinal Surgery, Medical University of Silesia in Katowice Kierownik

author

Paweł Lampe

• Department of Gastrointestinal Surgery, Medical University of Silesia in Katowice Kierownik

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Identifiers

DOI

10.1515/pjs-2015-0057