Format

Send to

Choose Destination
See comment in PubMed Commons below
Dig Surg. 2000;17(5):493-6.

Long-term results of stapled and hand-sewn anastomoses in patients with Crohn's disease.

Author information

1
2nd Department of Surgery, Hyogo College of Medicine, Hyogo, Japan.

Abstract

AIM:

This study aimed at determining the reoperation rates of patients with anastomoses for Crohn's disease. The outcome of patients undergoing stapled anastomoses was compared with that of patients having hand-sewn anastomoses.

METHODS:

Sixty-three patients undergoing intestinal resection for Crohn's disease at our institution from 1987 to 1996 were studied in a prospective, randomized trial. The group undergoing stapling comprised 30 patients and 37 anastomoses. The group with a hand-sewn anastomosis comprised 33 patients and 45 anastomoses. The median follow-up period was 87 (range 36-140) months.

RESULTS:

There were no significant differences in operative indications or patients' age and sex between the groups. There was a significant difference in cumulative recurrences between the groups (Cox-Mantel test: p = 0.022).

CONCLUSION:

A stapled anastomosis after resection for Crohn's disease may delay reoperation in patients with symptomatic recurrence.

PMID:
11124554
DOI:
10.1159/000051946
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for S. Karger AG, Basel, Switzerland
    Loading ...
    Support Center