ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the safety and efficacy of compression anastomosis clip(CAC) for small bowel anastomosis.</p><p><b>METHODS</b>Forty gastric cancer patients undergoing total gastrectomy were randomly divided into two groups and received side-to-side Roux-en-Y small bowel anastomosis with CAC or stapler. The following parameters were recorded: small bowel anastomotic complication, first post-operation flatus and bowel movement, extrusion of clip device.</p><p><b>RESULTS</b>Neither group had small bowel anastomotic complications such as leakage or obstruction. The clip was expelled with stool within 9-16 days. Two groups had the similar results in recovery of bowel function.</p><p><b>CONCLUSION</b>CAC is safe and simple for small bowel anastomosis.</p>
Subject(s)
Adult , Aged , Female , Humans , Male , Middle Aged , Adenocarcinoma , General Surgery , Anastomosis, Roux-en-Y , Methods , Gastroenterostomy , Intestine, Small , General Surgery , Nickel , Stomach Neoplasms , General Surgery , TitaniumABSTRACT
<p><b>OBJECTIVE</b>To report clinical experience of percutaneous endoscopic gastrostomy, duodenostomy, jejunostomy in 120 patients, focusing on its technique and indications.</p><p><b>METHODS</b>One hundred and twenty patients received percutaneous endoscopic gastrostomy, duodenostomy, jejunostomy from May 2001 to April 2004, including 75 percutaneous endoscopic gastrostomy (PEG), 42 percutaneous endoscopic jejunostomy (PEJ), 2 percutaneous endoscopic duodenostomy (PED), 1 direct percutaneous endoscopic jejunostomy (DPEJ). All tubes established by traditional pull technique.</p><p><b>RESULTS</b>The average duration of PEG was (9 +/- 4) min, PEJ (17 +/- 6) min, DPEJ 20 min, and PED was 10 and 12 min for 2 patients, respectively. Success rate of the technique was 98.4% (120/122). Major complication rate was 0.8% (1/120), and minor complication rate was 7.5% (9/120). Clinical indications: PEG, PED and PEJ were applied for long-term enteral nutritional support in 88 patients, gastrointestinal decompression in 25 patients, and transfusing external drainage bile to gastrointestinal tract in 5 patients. Two radiation enteritis patients used PEG for gastrointestinal decompression preoperatively and long-term enteral nutritional support postoperatively.</p><p><b>CONCLUSION</b>PEG, PED PEJ and DPEJ are easily handled, effective and safe, and may be widely used in clinical practice.</p>