Digestive Surgery

Original Paper

Long-Term Results after 75 Anastomoses in the Upper Extraperitoneal Rectum with the Biofragmentable Anastomosis Ring

Debus E.S. · Sailer M. · Geiger D. · Dietz U.A. · Fuchs K.-H. · Thiede A.

Author affiliations

Department of Surgery, University Hospital of Würzburg, Germany

Keywords: Bioabsorbable anastomosis ringRectum anastomosisLeakage rateAnastomotic bleedingStenosis

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Dig Surg 1999;16:55–59
https://doi.org/10.1159/000018694

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Published online: February 12, 1999
Issue release date: 1999

Number of Print Pages: 5
Number of Figures: 1
Number of Tables: 2

ISSN: 0253-4886 (Print)
eISSN: 1421-9883 (Online)

For additional information: https://www.karger.com/DSU

Abstract

Background: Anastomoses in the rectum have a higher risk for complications compared with other gastrointestinal regions. Stapling devices and sophisticated developments in surgical suture materials did not lead to a substantial decrease of local complications. The bioabsorbable anastomosis ring (BAR) is a new alternative technique for creating gastrointestinal anastomoses. Accordingly, the aim of this prospective study was to evaluate the postoperative course and long-term results of patients after anterior rectum resection using BAR. Methods: From 1991 to 1996 75 BAR anastomoses were performed in the upper rectum at the Department of Surgery, University Hospital Würzburg. Thirty-eight patients suffered from malignant, 37 from benign disease. Mean age was 61.4 years with no relevant differences in the gender. Mean follow-up was 31 months (4–63 months). The clinical course was evaluated, a questionnaire completed and/or a 3-monthly reevaluation with endoscopy conducted. Mortality, anastomostic bleeding, leakage and development of anastomotic stenosis were evaluated. Results: Sixty-seven patients could be reexamined. There was no postoperative mortality and no anastomotic bleeding. Six patients (8%) developed an anastomotic leakage, of whom 3 (4%) required reoperation. None of the patients revealed a detectable stenosis in the anastomotic region during follow-up. Conclusion: The BAR procedure is a safe and suitable anastomotic technique after anterior rectum resection.



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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Published online: February 12, 1999
Issue release date: 1999

Number of Print Pages: 5
Number of Figures: 1
Number of Tables: 2

ISSN: 0253-4886 (Print)
eISSN: 1421-9883 (Online)

For additional information: https://www.karger.com/DSU

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1999, Vol.16, No. 1

1999

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