Clinical application of tubular anastomat and stapler in Roux-en-Y upper gastrointestinal reconstruction

Objective: To investigate the clinical application value of tubular anastomat and stapler in Roux-en-Y upper gastrointestinal reconstruction. Methods: 329 patients receiving Roux-en-Y proximal gastric resection and total gastrectomy using tubular anastomat and stapler in our hospital from January 2000 to January 2010 were analyzed retrospectively. Results: All the surgeries were successful and there was no surgical death. The surgical time ranged from 1.6 to 4.0 hours, with an average of 2.8 hours. There were no anastomotic leak, bleeding, stenosis and other serious complications. After follow-up for 0.5 to 2 years, anastomotic stenosis occurred in 3 patients, who regained normal diet after stent placement. Endoscopy or barium meal showed good anastomotic healing in the other patients and the eating conditions were good. Conclusion: Application of tubular anastomat and stapler in Roux-en-Y upper gastrointestinal reconstruction has advantages such as simple operation, safe and effective, shorter surgical time and fewer complications, thereby of high clinical application value.