Abstract
The use of the biofragmentable anastomosis ring (BAR; Valtrac, Davis and Geek, USA) in the performance of both colic and ileum intestinal anastomoses has now been proved valid and reliable by the excellent results achieved [1–5]. Clinical trials have demonstrated that anastomoses carried out with the BAR have a reduced tendency towards stenosis and in general produce a lower percentage of complications. Experimental research conducted on animals have, moreover, proved that healing of anastomosis occurs with a reduced incidence of fibrous tissue in the layers of muscle in the intestine wall. This gives the biological basis to the increased plasticity of the anastomosis checked in endoscopic and radiological examination [6].
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Rubbini M, Bresadola V, Cantarini D, Donini A, Vettorello GF, Mari C, Navarra G, Gasbarro V, De Anna D, Donini I (1991) Studio comparativo tra anastomosi meccaniche ed a pressione. Risultati preliminari. Chirurgia 4/3:100–103
Hardy TG, Aguillar PS, Stewart WRC, Katz AR, Maney JW, Costanzo JT, Pace WG (1987) Initial clinical experience with a biofragmentable ring for sutureless bowel anastomosis. Dis Colon Rectum 30:55–61
Gullichsen R, Ovaska J, Havia T, Yrjana J, Ekfors T (1993) What happens to the Valtrac anatomosis of the colon? A follow up study. Dis Colon Rectum 36:362–365
Bubrick MP, Corman ML, Cahill JC, Hardy TG, Nance FC, Shatney CH (1991) Prospective, randomized trial of the biofragmentable anastomosis ring. Am J Surg 161:136–143
Cahill CJ, Betzler M, Gruvez JA, Jeekel J, Patel JC, Zederfeldt B (1989) Sutureless large bowel anastomosis: European experience with the biofragmentable anastomosis ring. Br J Surg 76:344–347
Gullichsen R (1993) The biofragmentable ring in intestinal surgery. Eur J Surg Suppl 569:1–31
Polglase AL, Skinner SA, Johnson WR (1993) Laparoscopic assisted right hemicolectomy with Valtrac BAR ileotransverse anastomosis. Aust NZ J Surg 63/6:481–484
Gullichsen R, Havia T, Ovaska J, Rantala A (1992) Cholecystoenteral an¬astomosis with the biofragmentable ring and manual suture. A prospective randomized study. Ann Chir Gynecol 81/4:354–356
Pappo I, Rosenmann E, Freud HR (1992) Sutureless bowel anastomosis with a biofragmentable ring in Crohn’s disease. Herefuah 123/1–2:14–16
Scott AD, Uff C, Phillips RK (1993) Suppression of macrophage function by suture materials and anastomotic recurrence of Crohn’s disease. Br J Surg 80/3:387–391
Smedh K, Olaison G, Sjodahl R (1992) Initiation of anastomotic recurrence of Crohn’s disease after ileocolic resection. Onset proximal to the junction and preceded by increased phospholipase A2 activity. Scand J Gastroenterol 27/8: 691–694
Pezzana A, Boggio Bertinet D, Costantino AM, Da Pone MC, Pera A (1992) Possibilitá e limiti del supporto nutrizionale nella malattia di Crohn. Minerva Gastroenterol 38/3:161–165
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1995 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Donini, I., Rubbini, M., Pozza, E. (1995). Use of Biofragmentable Anastomosis Rings in Inflammatory Bowel Diseases. In: Engemann, R., Thiede, A. (eds) Compression Anastomosis by Biofragmentable Rings. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79260-1_13
Download citation
DOI: https://doi.org/10.1007/978-3-642-79260-1_13
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-58418-6
Online ISBN: 978-3-642-79260-1
eBook Packages: Springer Book Archive