Year : 2015 | Volume
: 21 | Issue : 2 | Page : 140--142
Early experience with stapled gastrointestinal anastomoses in a Nigerian hospital
AO Adisa, O Olasehinde, OA Arowolo, OI Alatise, EA Agbakwuru
Department of Surgery, Obafemi Awolowo University, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, 220005, Nigeria
Background: Hand-sewn gastrointestinal anastomoses has been the traditional approach to gastrointestinal anastomosis in Nigeria while stapled anastomoses are infrequently performed in few centers.
Objectives: To describe the outcome of our initial experience with stapled gastrointestinal anastomoses in a semi-urban patient population.
Patients and Methods: Consecutive patients who had stapled gastrointestinal anastomoses between January 2011 and June 2014 in a Nigerian tertiary hospital were prospectively evaluated. Indications for operation, procedures performed and anastomoses constructed and postoperative outcome of each patient were documented.
Results: Nineteen patients including seven males and 12 females had stapled anastomoses within the period. Their ages ranged between 41 and 68 (mean 52.5) years. Six (31.6%) Roux-en-Y gastrojejunostomies, 6 (31.6%) ileo-colic, 3 (15.8%) ileo-ileal, 2 (10.5%) colo-colic, and 2 (10.5%) colo-anal anastomoses were performed. Indications include antral gastric cancer in 4 (21.1%), right colon cancer 4 (21.1%), ileal perforations in 3 (15.8%) while 2 (10.5%) each had left colon cancer, common bile duct obstruction, rectal cancer and ruptured appendix. Mean duration of operation was 108 ± 46 min and mean duration of postoperative stay was 5 ± 2.6 days. No intraoperative complications were recorded and no anastomotic leakage occurred. At a median follow-up of 5 months no staple related stricture had occurred.
Conclusions: Stapled gastrointestinal anastomoses are associated with a good outcome in our center. We propose a prospective, large-population randomized comparison of the technique with hand-sewn anastomoses.
Department of Surgery, Obafemi Awolowo University, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, 220005
|How to cite this article:|
Adisa A, Olasehinde O, Arowolo O, Alatise O, Agbakwuru E. Early experience with stapled gastrointestinal anastomoses in a Nigerian hospital.Niger J Surg 2015;21:140-142
|How to cite this URL:|
Adisa A, Olasehinde O, Arowolo O, Alatise O, Agbakwuru E. Early experience with stapled gastrointestinal anastomoses in a Nigerian hospital. Niger J Surg [serial online] 2015 [cited 2019 Nov 14 ];21:140-142
Available from: http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2015;volume=21;issue=2;spage=140;epage=142;aulast=Adisa;type=0