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2015 | 87 | 6 | 295-300
Tytuł artykułu

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

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
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.
Wydawca
Rocznik
Tom
87
Numer
6
Strony
295-300
Opis fizyczny
Daty
wydano
2015-06-01
otrzymano
2015-04-10
online
2015-08-04
Twórcy
  • Department of Gastrointestinal Surgery, Medical University of Silesia in Katowice Kierownik , kasiachir@wp.pl
autor
  • Department of Gastrointestinal Surgery, Medical University of Silesia in Katowice Kierownik
Bibliografia
  • 1. Szold A: New concepts for a compression anastomosis: Superelastic clips and Rings. Minim Invasive Ther 2008; 17: 168‑71.
  • 2. Szold A: Nitinol: shape-memory and super-elastic materials in surgery. Surg Endosc 2006; 20: 1493‑96.
  • 3. Song C, Frank T, Cuschieri A: Shape memory alloy clip for compression colonic anastomosis. J Biomech Eng 2005; 127: 351‑54.
  • 4. Kuśnierz K, Morawiec H, Lekston Z et al.: NiTi shape memory compression anastomosis clip in small- and large-bowel anastomoses: first experience.Surg Innov 2013; 20: 580‑85.
  • 5. Kuśnierz K, Lekston Z, Zhavoronkov D et al.: A nickel-titanium memory-shape device for gastrojejunostomy: comparison of the compression anastomosis clip and a hand-sewn anastomosis. J Surg Res 2014; 187: 94‑100.
  • 6. Espinel J, Pinedo E: Stenosis in gastric bypass: Endoscopic management. World J Gastrointest Endosc 2012; 4: 290‑95.
  • 7. Nudelman I, Fuko V, Greif F et al.: Colonic anastomosis with the nickel-titanium temperaturedependent memoryshape device. Am J Surg 2002; 183: 697‑701.
  • 8. Nudelman I, Fuko V, Waserberg N et al.: Colonic anastomosis performed with a memory-shaped device. Am J Surg 2005; 190: 434‑38.
  • 9. Nudelman I, Fuko V, Rubin M et al.: A nickel titanium memory-shape device for colonic anastomosis in laparoscopic surgery. Surg Endosc 2004; 18: 1085‑89.
  • 10. Hur H, Kim HH, Hyung WJ et al.: Efficacy of NiTi Hand CAC30 for jejunojejunostomy in gastric cancer surgery: results from a multicenter prospective randomized trial. Gastric cancer 2011; 14: 124‑29.
  • 11. Jiang ZW, Li N, Li JS et al.: Small bowel anastomosis performed with the nickel-titanium temperature-dependent memory-shape device.Zhonghua Wei Chang Wai Ke Za Zhi 2006; 9: 392‑94.
  • 12. Lee HY, Woo JH, Park SY et al.: Intestinal anastomosis by use of a memoryshaped compression anastomosis clip (Hand CAC 30): early clinical experience.J Korean Soc Coloproctol 2012; 28: 83‑88.
  • 13. Tucker ON, Beglaibter N, Rosenthal RJ: Compression anastomosis for Roux-en-Y gastric by-pass: observations in a large animal model. Surg Obes Relat Dis 2008; 4: 115‑21.
  • 14. Liu PC, Jiang ZW, Zhu Xl et al.: Compression anastomosis clip for gastrointestinal anastomosis.World J Gastroenterol 2008; 14: 4938‑42.
  • 15. Song C, Frank T, Cuschieri A: Shape memory alloy clip for compression colonic anastomosis. J Biomech Eng 2005; 127: 351‑54.
  • 16. Kopelman D, Lelcuk S, Sayfan J et al.: End-toend compression anastomosis of the rectum: a pig model. World J Surg 2007; 31: 532‑37.
  • 17. Zbar AP, Nir Y, Weizman A et al.: Compression anastomoses in colorectal surgery: a review. Tech Coloproctol 2012; 16: 187‑99.
  • 18. Ho YH, Ashour MA: Techniques for colorectal anastomosis. World J Gastroenterol 2010; 16: 1610‑21.
  • 19. Stroncek JD, Reichert WM: Overview of wound healing in different tissue types. W: Reichert WM (red.) Indwelling Neural Implants: Strategies for Contending with the In Vivo Environment. Boca Raton: CRC Press; 2008, rozdz. 1.
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_1515_pjs-2015-0057
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