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Brief clinical report| Volume 109, ISSUE 6, P799-801, June 1991

Anastomotic obstruction after stapled enteroanastomosis

  • Robert Ostericher
    Affiliations
    Departments of Urology and Surgery, Wilford Hall USAF Medical Center and the Uniformed Services University of the Health Sciences, Lackland AFB, Texas, USA

    Department of Urology, Mayo Clinic, Rochester, Minn., USA
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  • Kevin P. Lally
    Correspondence
    Reprint requests: Kevin P. Lally, MD, Department of Surgery/SGHSG, Wilford Hall USAF Medical Center, Lackland AFB, Texas 78236-5300.
    Affiliations
    Departments of Urology and Surgery, Wilford Hall USAF Medical Center and the Uniformed Services University of the Health Sciences, Lackland AFB, Texas, USA

    Department of Urology, Mayo Clinic, Rochester, Minn., USA
    Search for articles by this author
  • David M. Barrett
    Affiliations
    Departments of Urology and Surgery, Wilford Hall USAF Medical Center and the Uniformed Services University of the Health Sciences, Lackland AFB, Texas, USA

    Department of Urology, Mayo Clinic, Rochester, Minn., USA
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  • Michael L. Ritchey
    Affiliations
    Departments of Urology and Surgery, Wilford Hall USAF Medical Center and the Uniformed Services University of the Health Sciences, Lackland AFB, Texas, USA

    Department of Urology, Mayo Clinic, Rochester, Minn., USA
    Search for articles by this author
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      Abstract

      We have recently treated two cases of anastomotic obstruction after side-to-side stapled enteroanastomosis. Complete obstruction of a stapled small-bowel anastomosis has not been reported to our knowledge. The mechanism of the obstruction appears to be the healing together of the cut edges of viable bowel beyond the inverted stapled lines. An alternative method of constructing the functional end-to-end enteroanastomosis that is offered is intended to prevent the occurrence of postoperative anastomotic obstruction.
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