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World J Gastroenterol. Aug 21, 2008; 14(31): 4938-4942
Published online Aug 21, 2008. doi: 10.3748/wjg.14.4938
Compression anastomosis clip for gastrointestinal anastomosis
Pi-Chu Liu, Zhi-Wei Jiang, Xiao-Lin Zhu, Zhi-Ming Wang, Yan-Qing Diao, Ning Li, Jie-Shou Li
Pi-Chu Liu, Zhi-Wei Jiang, Zhi-Ming Wang, Yan-Qing Diao, Ning Li, Jie-Shou Li, Department of General Surgery, Jinling Hospital, School of Medicine, Nanjing University, Nanjing 210002, Jiangsu Province, China
Xiao-Lin Zhu, Department of Nutrition Sciences, University of Alabama at Birmingham, Birmingham, AL 35294, United States
Author contributions: Liu PC, Jiang ZW, Li N and Li JS designed the research; Liu PC, Jiang ZW, Wang ZM, Diao YQ and Li N performed the research; Liu PC analyzed the data; Liu PC and Zhu XL wrote the paper.
Correspondence to: Zhi-Wei Jiang, MD, Department of General Surgery, Jinling Hospital, 305 Zhongshan East Road, Nanjing 210002, Jiangsu Province, China. greenbamboo0706@msn.com
Telephone: +86-25-80860137 Fax: +86-25-84803956
Received: January 15, 2008
Revised: May 2, 2008
Accepted: May 9, 2008
Published online: August 21, 2008
Abstract

AIM: To investigate the feasibility of compression anastomosis clip (CAC) for gastrointestinal anastomosis proximal to the ileocecal junction.

METHODS: Sixty-six patients undergoing gastrointe-stinal anastomosis proximal to the ileocecal junction were randomized into two groups according to the anastomotic method, CAC or stapler.

RESULTS: The postoperative recovery of patients in CAC and stapled anastomosis groups was similar. No postoperative complication related to the anastomotic method was found in either group. Both upper gastrointestinal contrast radiography at the early postoperative course and endoscopic examination after a 6-mo follow-up showed a better healing at the compression anastomosis.

CONCLUSION: CAC can be used not only in colonic surgery but also in gastrointestinal anastomosis. Our result strongly suggests that CAC anastomosis is safe in various complication circumstances. However, it should be further confirmed with a larger patient sample.

Keywords: Gastrointestinal anastomosis; Compression anastomosis clip; Stapler