scholarly journals Efficacy of single-layer continuous suture of the posterior wall in anastomosis involving a difficult location of the digestive tract

2014 ◽  
Vol 8 (4) ◽  
pp. 1567-1574 ◽  
Author(s):  
GUO-CAI LI ◽  
YONG XU ◽  
YU-CHUN ZHANG ◽  
FANG-CHENG ZHANG ◽  
QI WANG ◽  
...  
Keyword(s):  
Digestive Tract ◽  
Single Layer ◽  
Posterior Wall ◽  
Continuous Suture

scholarly journals Single-layer continuous suture contributes to the reduction of surgical complications in digestive tract anastomosis involving special anatomical locations

2013 ◽  
Vol 2 (1) ◽  
pp. 159-165 ◽  
Author(s):  
GUO-CAI LI ◽  
YU-CHUN ZHANG ◽  
YONG XU ◽  
FANG-CHENG ZHANG ◽  
WEI-HUA HUANG ◽  
...  
Keyword(s):  
Digestive Tract ◽  
Surgical Complications ◽  
Single Layer ◽  
Continuous Suture

scholarly journals Novel single-layer continuous suture of pancreaticojejunostomy for robotic pancreaticoduodenectomy

HPB ◽  
2019 ◽  
Vol 21 ◽  
pp. S309
Author(s):  
Qu Liu ◽  
Zhiming Zhao ◽  
Yuanxing Gao ◽  
Guodong Zhao ◽  
Xianglong Tan ◽  
...  
Keyword(s):  
Single Layer ◽  
Continuous Suture ◽  
Robotic Pancreaticoduodenectomy

scholarly journals Comparative study of hand sewn single layer anastomosis of dog's bowel

2008 ◽  
Vol 45 (4) ◽  
pp. 319-322 ◽  
Author(s):  
João Luiz Moreira Coutinho Azevedo ◽  
Octávio Hypólito ◽  
Otávio Cansanção Azevedo ◽  
Otávio Monteiro Becker Jr. ◽  
Dalmer Faria Freire
Keyword(s):  
Digestive Tract ◽  
Acute Inflammation ◽  
Statistical Significance ◽  
Intestinal Anastomosis ◽  
Single Layer ◽  
The Other ◽  
Surgical Anastomosis ◽  
Peritoneal Adhesions ◽  
Friedman's Test ◽  
Microscopic Features

BACKGROUND: Two-layer intestinal anastomosis increases the inflammatory response while single-layer anastomosis results in a better wound healing. However the four main kinds of stitches which may be chosen in performing single layer intestinal sutures never before had been comparatively studied. AIM: To compare the four more commonly used types of single layer surgical anastomosis sutures of the digestive tract. METHODS: Six mongrel dogs were operated, each one receiving two anastomosis: one at 30 cm from de Treitz angle - sero-submucosal technique, and the other at 60 cm - total technique. This placement was alternatively inverted. The four more commonly used types of single layer surgical anastomosis sutures of the digestive tract, namely: sero-submucosal stitches tied in the lumen, over the submucosa; sero-submucosal stitches tied in the exterior of the organ, over the serosa; total stitches tied in the lumen, over the mucosa; and total sutures tied in the exterior, over the serosa (Gambee's stitches) were tested. After euthanasia (7th post-operative day) macro and microscopic features were evaluated. Friedman's test was applied for morphometry and for evaluation of the peritoneal adhesions. RESULTS: Statistical significance was demonstrated through major residual acute inflammation and proliferation in total sutures and more profuse adhesions with the sero-submucosal stitches tied in the lumen. The sero-submucosal stitches tied in the exterior over the serosa, had excellent realignment and regeneration of the layers. CONCLUSION: The sero-submucosal stitches tied in the exterior, over the serosa, were the best ones.

Single-Layer Continuous Versus Double-Layer Continuous Suture in Colonic Anastomoses—a Randomized Multicentre Trial (ANATECH Trial)

2015 ◽  
Vol 20 (2) ◽  
pp. 421-430 ◽  
Author(s):  
F. Herrle ◽  
M. K. Diener ◽  
S. Freudenberg ◽  
F. Willeke ◽  
P. Kienle ◽  
...  
Keyword(s):  
Double Layer ◽  
Multicentre Trial ◽  
Single Layer ◽  
Continuous Suture ◽  
Colonic Anastomoses

Ontogeny of the digestive tract of Brycon amazonicus (Teleostei, Bryconidae) under culture conditions: from hatching to juvenile stage

Zygote ◽  
2020 ◽  
Vol 28 (3) ◽  
pp. 208-216
Author(s):  
Erika Neumann ◽  
Maria do Carmo Faria Paes ◽  
José Mário Ribeiro Mendes ◽  
Francisco Manoel de Souza Braga ◽  
Laura Satiko Okada Nakaghi
Keyword(s):  
Digestive Tract ◽  
Single Layer ◽  
Culture Conditions ◽  
Proximal Region ◽  
Basic Knowledge ◽  
Morphological Development ◽  
Straight Tube ◽  
Gastric Glands ◽  
Digestive Tube ◽  
Nutritional Studies

SummaryIn the present study, the morphological development of the Brycon amazonicus digestive tract is described to provide basic knowledge for nutritional studies and, therefore, increase the survival of this species during larviculture. Samples were collected from hatching up to 25 days of age, measured, processed and observed under a stereomicroscope and light microscopy. Newly hatched larvae presented their digestive tract as a straight tube, dorsal to the yolk sac, lined with a single layer of undifferentiated cells. At 24 h post-hatching (hPH), the buccopharyngeal cavity was open, but the posterior region of the digestive tube remained closed. At 25 hPH, the digestive tube was completely open and could be divided into buccopharyngeal cavity, oesophagus and intestine. At 35 hPH, the intestine presented a dilatation in the proximal region, which had the function of storing food. Differentiation of the stomach started at 83 hPH, and mucous cells were observed in the epithelium. These cells are important in the production of mucus, whose function is to protect the organ against acidity, although the gastric glands began developing only from 171 hPH, when three stomach regions were observed: cardiac, fundic and pyloric. The gastric glands were observed in the cardiac region, indicating that this organ already had digestive functionality. From 243 hPH, the absorption and assimilation of nutrients were already possible but, only from 412 hPH, the digestive tract was completely developed and functional.

594 HAND-SEWN CERVICAL ESOPHAGOGASTRIC ANASTOMOSIS AFTER ESOPHAGECTOMY

2021 ◽  
Vol 34 (Supplement_1) ◽  
Author(s):  
Isao Nozaki ◽  
Shinji Hato ◽  
Yoshihiro Mikuriya ◽  
Ryoji Ochiai ◽  
Naruyuki Kobayashi ◽  
...  
Keyword(s):  
Gastric Tube ◽  
Anastomotic Stricture ◽  
Balloon Dilation ◽  
Postoperative Mortality ◽  
Single Layer ◽  
Cost Effective ◽  
Posterior Wall ◽  
Esophagogastric Anastomosis ◽  
Complication Rates ◽  
Cervical Esophagogastric Anastomosis

Abstract   Successful anastomosis is essential in esophagogastrectomy. Staplers are more popularly applied for the anastomosis. However, a hand-sewn anastomosis is a basic and cost-effective method. Herein, we introduce our technical tips of all hand-sewn cervical esophagogastric anastomosis. Methods Step 1: A 6 cm gastric tube is created and pulled up through the posterior mediastinal route. Step 2: A single layer Gambee sutures are used to approximate the cervical esophagus and the posterior wall of the gastric tube in end-to-side fashion. Step 3: The redundant part in the gastric tube apex is removed. Results We analyzed 199 consecutive patients who underwent this anastomosis in our institute from 2004 to 2019. There was no postoperative mortality. Anastomotic leak (Clavien-Dindo classification; Grade ≥ II) rate was 2.5%. Anastomotic stricture which required balloon dilation was 3.5%. Conclusion The anastomotic complication rates in the hand-sewn anastomosis were comparable to those of the mechanical stapled anastomosis in the previous reports. Video https://www.dropbox.com/s/sxnxs4962aj5n5k/anastomosis.mp4?dl=0.

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