Evaluation of using single-layer continuous suturing technique in gastro-jejunostomy

ABSTRACT

Thirty-six patients were included in this study. All of them were subjected to gastrojejunostomy as a drainage operation in combination with trunkal vagotomy as a line of treatment for duodenal peptic ulcer. An absorbable suturing material [3/0 polydioxanone] was used to construct the gastrojejunal anastomoses. The single-layer continuous suturing technique was used involving all coats with care, not to invert much tissue in the anastomotic line. No single case of anastomotic leak was observed in the 36 patients. The single-layer continuous suturing technique is proved to be reliable in creation of integrated gastrojejunal anastomosis. Such technique is advised to be used in gastrojejunostomy because it is reliable, more economic and still safe with the increased risk of bleeding from the anastomotic line and shortens the operation time