Abstract

MOHSINA, S et al. Billroth I anastomosis using a circular stapler for corrosive gastric stricture: a novel technique. S. Afr. j. surg. [online]. 2018, vol.56, n.1, pp.42-44. ISSN 2078-5151.  http://dx.doi.org/10.17159/2078-5151/2018/v56n1a2224.

Resection and hand-sewn Billroth I reconstruction is the commonly carried out procedure for type I gastric strictures. The use of staplers for Billroth I anastomosis is limited. Here we describe a unique technique of Billroth I anastomosis using a circular stapler without a gastrotomy in a case of corrosive gastric stricture. A fourteen-year-old girl with Type I gastric stricture underwent resection of the pre-pyloric stricture and Billroth I reconstruction, for which the shaft of the circular stapler was inserted through the open end of the stomach and a side-to-end anastomosis of the posterior wall of the stomach with the end of the duodenum was carried out. The distal cut open end of the stomach was closed with a linear cutter. The patient made an uneventful recovery. A circular stapler can be used by this technique for Billroth I anastomosis for a pre-pyloric corrosive stricture without a need for additional gastrotomy for introducing the stapler.

Keywords : corrosive stricture; circular stapler; gastrectomy; gastroduodenal anastomosis.

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