Compression gastrointestinal anastomosis

Abstract

The creation of anastomoses between various parts of the GI tract is a major task in the daily practice of oncological, reconstructive and transplant surgery. The most widely used anastomosing techniques today involve the use of sutures or metal titanium staples. Both techniques involve foreign material penetrating the tissue and evoking localized inflammatory response, tissue injury and breaking of mucosal barriers that may facilitate bacterial growth within the anastomotic line, increasing the propensity to anastomotic-related morbidity. Different types of compression devices were successfully used clinically in the past. The history and evolving characteristics of this technology is reviewed. Nitinol-based solutions for the creation of compression anastomosis are evaluated as a possible potential for revolutionary impact on the current surgical methods and anastomosing technology in the alimentary tract and beyond.

Magnamosis: magnetic compression anastomosis with comparison to suture and staple techniques

“…Surgical innovators have pursued compression anastomosis ever since it was first conceived of by Denan in 1826 [1][2][3][4]. Denan's spring-loaded device was revised and popularized by Murphy in 1892 with a screw-on mechanism.…”

Endoluminal compression clip: full-thickness resection of the mesenteric bowel wall in a porcine model

“…The process of pressure necrosis and healing detaches the clip into the lumen after a few days. 13 The compression clips demonstrated good hemostatic capability. There were 3 occurrences of immediate minor oozing of blood after the resection of the tissue that was clamped by the clip, which did not necessitate intervention.…”

Antireflux Compression Biliodigestive Anastomoses Formation with the Usage of the TiNi Shape Memory Implant

“…Various devices made of magnetic alloys, the biofragmented rings of BAR, the TiNi shape-memory superelastic devices are developed for their creation [2,3,4,5,6,7,8]. The insolvency of the compression anastomoses averages 2-8%, and the lethality is 1-4% [5,7,8].…”