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The Hand-sewn Anastomosis with an Absorbable Bidirectional Monofilament Barbed Suture Stratafix® During Laparoscopic One Anastomosis Loop Gastric Bypass. Retrospective Study in 50 Patients

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Abstract

Background

Laparoscopic One Anastomosis Gastric Bypass (LOAGB) is one of the main bariatric procedures that require a safe and reproducible gastrojejunal anastomosis. Barbed suture has been widely used for surgery in recent years; however, few studies have reported their use for gastro-intestinal anastomosis. We proposed their use for totally hand-sewn anastomosis during LOAGB.

Objectives

The objective of this study is to evaluate the risk of leaks and stenosis after a hand-sewn anastomosis using an absorbable bidirectional monofilament barbed suture: Stratafix®.

Setting

The study was done in a private practice setting.

Methods

Between April and November 2014, 50 consecutive patients undergoing a hand-sewn antecolic, antegastric gastrojejunal anastomosis (GJA) using Stratafix®. Pre, intra, and postoperative parameters were assessed for these patients.

Results

No fistulas or anastomotic stenosis had occurred up to 6 months after surgery. All procedures were completed laparoscopically, and no intraoperative complications occurred. The mean length of hospital stay was 3 days.

Conclusion

The use of an absorbable bidirectional monofilament barbed suture for the GJA was safe. Further prospective studies with a higher number of patients are needed to address the safety and efficacy of the absorbable bidirectional monofilament barbed suture in bariatric surgery.

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Author information

Authors and Affiliations

  1. Department of Bariatric Surgery, Clinique Chirurgicale Mutualiste de Saint-Etienne, Saint-Etienne, France

    Pierre Blanc & Christophe Breton

  2. Department of Bariatric Surgery, Clinique de la Châtaigneraie, 63110, Beaumont, France

    Patrice Lointier

  3. Department of Bariatric Surgery, CHU Archet 2 Hospital, Nice, France

    Tarek Debs

  4. Department of General Surgery, CHU Hospital, Jean Monnet University, Avenue Albert Raimond, 42270, Saint Etienne, France

    Radwan Kassir

Authors
  1. Pierre Blanc
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  2. Patrice Lointier
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  3. Christophe Breton
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  4. Tarek Debs
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  5. Radwan Kassir
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Corresponding author

Correspondence to Radwan Kassir.

Ethics declarations

This study was approved by the respective Institutional Review Board of our center.

Conflict of Interest

The authors declare that they have no competing interests.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Blanc, P., Lointier, P., Breton, C. et al. The Hand-sewn Anastomosis with an Absorbable Bidirectional Monofilament Barbed Suture Stratafix® During Laparoscopic One Anastomosis Loop Gastric Bypass. Retrospective Study in 50 Patients. OBES SURG 25, 2457–2460 (2015). https://doi.org/10.1007/s11695-015-1921-2

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  • DOI: https://doi.org/10.1007/s11695-015-1921-2

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