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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.

Authors+Show Affiliations

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

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 -