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01-01-2017 | Review Article

Is “functional end-to-end anastomosis” really functional? A review of the literature on stapled anastomosis using linear staplers

Authors: Masayuki Kano, Naoyuki Hanari, Hisashi Gunji, Koichi Hayano, Hideki Hayashi, Hisahiro Matsubara

Published in: Surgery Today | Issue 1/2017

Abstract

Purposes

Anastomosis is one of the basic skills of a gastrointestinal surgeon. Stapling devices are widely used because stapled anastomosis (SA) can shorten operation times. Antiperistaltic stapled side-to-side anastomosis (SSSA) using linear staplers is a popular SA technique that is often referred to as “functional end-to-end anastomosis (FEEA).” The term “FEEA” has spread without any definite validation of its “function.” The aim of this review is to show the heterogeneity of SA and conventional hand-sewn end-to-end anastomosis (HEEA) and to advocate the renaming of “FEEA.”

Methods

We conducted a narrative review of the literature on SSSA. We reviewed the literature on ileocolic and small intestinal anastomosis in colonic cancer, Crohn’s disease and ileostomy closure due to the simplicity of the technique.

Results

The superiority of SSSA in comparison to HEEA has been demonstrated in previous clinical studies concerning gastrointestinal anastomosis. Additionally, experimental studies have shown the differences between the two anastomotic techniques on peristalsis and the intestinal bacteria at the anastomotic site.

Conclusions

SSSA and HEEA affect the postoperative clinical outcome, electrophysiological peristalsis, and bacteriology in different manners; no current studies have shown the functional equality of SSSA and HEEA. However, the use of the terms “functional end-to-end anastomosis” and/or “FEEA” could cause confusion for surgeons and researchers and should therefore be avoided.

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Title: Is “functional end-to-end anastomosis” really functional? A review of the literature on stapled anastomosis using linear staplers
Authors: Masayuki Kano
Naoyuki Hanari
Hisashi Gunji
Koichi Hayano
Hideki Hayashi
Hisahiro Matsubara
Publication date: 01-01-2017
Publisher: Springer Japan
Published in: Surgery Today / Issue 1/2017
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-016-1321-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Is “functional end-to-end anastomosis” really functional? A review of the literature on stapled anastomosis using linear staplers

Abstract

Purposes

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purposes

Methods

Results

Conclusions

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