Central Surgical Association| Volume 82, ISSUE 3, P395-399, September 1977

Download started.


Complications associated with the use of gastrointestinal stapling devices

      This paper is only available as a PDF. To read, Please Download here.


      Complications arising in the intraoperative and postoperative period were assessed over a 2-year period in 132 patients in whom gastrointestinal operations had been performed using the TA-type or GIA-type stapling devices. Specific complications are described and their relationship to the staple-suture technique is evaluated. Bleeding from the anastomotic line is believed to be a complication directly attributable to the technique. Technical errors in the use of the device, as well as mechanical malfunction, can contribute to morbidity or mortality. Methods for avoiding staple-related complications are suggested. The history of stapling instruments is reviewed briefly.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Fischer M.G.
        Bleeding from stapler anastomosis.
        Am J Surg. 1976; 131: 745
        • Heimlich H.J.
        Elective replacement of the oesophagus.
        Br J Surg. 1966; 53: 59
        • Ravitch M.M.
        • Rivarola A.
        Enteroanastomosis with an automatic instrument.
        Surgery. 1966; 59: 270
        • Ravitch M.M.
        • Steichen F.M.
        Technics of staple suturing in the gastrointestinal tract.
        Ann Surg. 1972; 175: 815
        • Ravitch M.M.
        • Lane R.
        • Cornell W.P.
        • et al.
        Closure of duodenal, gastric and intestinal stumps with wire staples: Experimental and clinical studies.
        Ann Surg. 1966; 163: 573
        • Ravitch M.M.
        • Canalis F.
        • Weinshelbaum A.
        • et al.
        Studies in intestinal healing. III. Observations on everting intestinal anastomoses.
        Ann Surg. 1967; 166: 670
        • Steichen F.M.
        • Ravitch M.M.
        Mechanical sutures in surgery.
        Br J Surg. 1973; 60: 191