Abstract | BACKGROUND: METHODS: Between April, 2000 and March, 2002, 738 patients underwent a primary (n=671) or revisionary (n=67) MGB procedure. The gastric reservoir was limited to the cardia of the stomach. Vapor-heated fibrin glue 1 cc was applied circumferentially to a 12-mm, non-banded GJS anastomosis. Once activated, fibrin sealant polymerized into a soft, closely adherent gel. No omental patch was used to cover the fibrin-sealed anastomosis. RESULTS: Of 738 patients, 2 required emergency laparotomy for leaks and 2 for adhesive bands that contributed to a distal small bowel obstruction. There were no anastomotic leaks at the fibrin-sealed GJS sites. No gastro-gastric or gastro-enteric fistulas were recorded. CONCLUSION:
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Authors | James A Sapala, Michael H Wood, Michael P Schuhknecht |
Journal | Obesity surgery
(Obes Surg)
Vol. 14
Issue 1
Pg. 35-42
(Jan 2004)
ISSN: 0960-8923 [Print] United States |
PMID | 14980031
(Publication Type: Evaluation Study, Journal Article)
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Chemical References |
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Topics |
- Anastomosis, Surgical
(adverse effects)
- Fibrin Tissue Adhesive
- Gastric Bypass
(methods)
- Humans
- Postoperative Complications
(prevention & control)
- Prospective Studies
- Treatment Outcome
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