A comparison of gastrojejunal anastomoses with or without buttressing in a porcine model

Abstract

The addition of BSG as a staple-line reinforcement acutely improves the burst strength of a circular anastomosis but not at 1 week. At 1 week, a decrease in collagen content with the BSG-buttressed stapled anastomosis was the only difference in the histologic parameters studied with no difference in vascularity, adhesions, or inflammation. The long-term effect of BSG on anastomotic strength or scarring is yet to be determined. The clinical implications may include decreased stricture formation and also decreased strength at anastomoses.

Profiling Surgical Staplers: Does Staple Direction Affect the Strength of the Anastomosis?

“…A report on the long-term effect of buttressing by Hope et al [12] histologically and mechanically analyzed circular stapled anastomoses with and without bioabsorbable staple-line reinforcement. The addition of reinforcement acutely improves the burst strength of a circular anastomosis for the first postoperative week.…”

Prospective and Randomized Comparison of Two Techniques of Staple Line Reinforcement During Open Roux-en-Y Gastric Bypass: Oversewing and Bioabsorbable Seamguard®

“…12,13 Studies have shown reduced rates of bleeding and anastomosis leakage with its use in colon surgeries 14 and in appendectomies. 15 Lower rates of intraoperative bleeding, shorter surgical times, and reduced abscess formation with its use in bariatric surgery 16 have been reported.…”

Reinforced Circular Stapler in Bariatric Surgery

“…The decrease in strictures may be due to a reduction in tension at the staple line by the even distribution of forces over the area of buttressing material and decreased collagen formation seen when bovine pericardium reinforcement is used. 7,23 …”