Modified functional end-to-end stapled intestinal anastomosis: technique and clinical results in 15 dogs

• Published in: Journal of small animal practice Vol. 49; no. 6; pp. 274 - 281
• Main Author: White, R.N
• Format: Journal Article
• Language: English
• Published: Oxford, UK Oxford, UK : Blackwell Publishing Ltd 01-06-2008; Blackwell Publishing Ltd
• Subjects: Anastomosis, Surgical - methods; Anastomosis, Surgical - veterinary; Animals; digestive system diseases; dog diseases; Dog Diseases - surgery; Dogs; Female; Intestinal Diseases - surgery; Intestinal Diseases - veterinary; Intestine, Small - surgery; Male; postoperative complications; Retrospective Studies; small intestine; stapled anastomosis; staples; surgery; surgical equipment; Surgical Stapling - methods; Surgical Stapling - veterinary; surgical stapling device; Suture Techniques - veterinary; Sutures - veterinary; Treatment Outcome
• ISSN: 0022-4510; 1748-5827
• DOI: 10.1111/j.1748-5827.2007.00499.x

To evaluate the use of a gastrointestinal anastomosis (GIA) stapling device to perform small intestinal anastomosis in the dog. A retrospective study to evaluate the use of a GIA stapling device to perform small intestinal anastomosis in 15 dogs. Reasons for intervention included dehiscence of a previous enterotomy (four of 15), intestinal neoplasia (five of 15), vascular compromise (three of 15), intussusception (two of 15) and foreign body (one of 15). The mean time taken to perform the anastomosis was 7·7 minutes (range five to 12 minutes). No operative complications were recorded and all dogs recovered from the surgery. Major (two dogs) and minor (six dogs) short-term complications of pyrexia and anorexia were recorded in six dogs. In five of these, the cause was considered to be related to a pre-existing peritonitis. One dog was euthanased five months postoperatively for a multi-centric recurrence of intestinal lymphoma. Six month follow-up confirmed an unremarkable and complete recovery in all remaining dogs. No major or minor long-term complications were recorded in any individual. A modified stapled functional end-to-end intestinal anastomosis holds merit and should be considered a viable alternative to other stapled and sutured anastomosis techniques.