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The use of staple-line reinforcement during laparoscopic gastric bypass.
Obes Surg. 2004 Nov-Dec; 14(10):1313-20.OS

Abstract

Divided linear staple-lines are a mainstay of gastrointestinal surgery, and in particular, bariatric surgery. Staple-line failure, although uncommon, can result in significant morbidity and even mortality. Staple-line buttressing has been developed to improve staple-line strength, decrease bleeding and minimize the risk of leak. Many different products are currently available. However, most have not been proven in clinical trials. Bovine pericardial strips (BPS) are a buttressing material that fits onto the stapler device and gets "stapled" onto the tissue when the device is fired. The strips add thickness and potentially strength to the staple-line. Animal research has shown that staple-lines incorporated with BPS had higher burst pressures than those without. Human experience has suggested that BPS decreased the risk of acute staple-line failures in laparoscopic Roux-en-Y gastric bypass surgery. This report reviews the clinical and research experience with this product.

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Authors+Show Affiliations

Shikora SA
Tufts University School of Medicine, Director Division of Bariatric Surgery, Tufts-New England Medical Center, Boston, MA 02111, USA. sshikora@tufts-nemc.org

MeSH

Anastomosis, Roux-en-YAnimalsCattleDisease Models, AnimalFollow-Up StudiesGastric BypassHumansIntraoperative ComplicationsLaparoscopyObesity, MorbidPericardiumProspective StudiesRabbitsRisk AssessmentSensitivity and SpecificitySurgical FlapsSurgical StaplingSuturesTensile StrengthTreatment Outcome

Pub Type(s)

Comparative Study
Journal Article
Review

Language

eng

PubMed ID

15603644

Citation

Shikora, Scott A.. "The Use of Staple-line Reinforcement During Laparoscopic Gastric Bypass." Obesity Surgery, vol. 14, no. 10, 2004, pp. 1313-20.
Shikora SA. The use of staple-line reinforcement during laparoscopic gastric bypass. Obes Surg. 2004;14(10):1313-20.
Shikora, S. A. (2004). The use of staple-line reinforcement during laparoscopic gastric bypass. Obesity Surgery, 14(10), 1313-20.
Shikora SA. The Use of Staple-line Reinforcement During Laparoscopic Gastric Bypass. Obes Surg. 2004 Nov-Dec;14(10):1313-20. PubMed PMID: 15603644.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The use of staple-line reinforcement during laparoscopic gastric bypass. A1 - Shikora,Scott A, PY - 2004/12/18/pubmed PY - 2005/3/23/medline PY - 2004/12/18/entrez SP - 1313 EP - 20 JF - Obesity surgery JO - Obes Surg VL - 14 IS - 10 N2 - Divided linear staple-lines are a mainstay of gastrointestinal surgery, and in particular, bariatric surgery. Staple-line failure, although uncommon, can result in significant morbidity and even mortality. Staple-line buttressing has been developed to improve staple-line strength, decrease bleeding and minimize the risk of leak. Many different products are currently available. However, most have not been proven in clinical trials. Bovine pericardial strips (BPS) are a buttressing material that fits onto the stapler device and gets "stapled" onto the tissue when the device is fired. The strips add thickness and potentially strength to the staple-line. Animal research has shown that staple-lines incorporated with BPS had higher burst pressures than those without. Human experience has suggested that BPS decreased the risk of acute staple-line failures in laparoscopic Roux-en-Y gastric bypass surgery. This report reviews the clinical and research experience with this product. SN - 0960-8923 UR - https://www.unboundmedicine.com/medline/citation/15603644/The_use_of_staple_line_reinforcement_during_laparoscopic_gastric_bypass_ L2 - https://dx.doi.org/10.1381/0960892042583770 DB - PRIME DP - Unbound Medicine ER -