[Stomitis caused by non-absorbable sutures: a complication to be avoided].

Area of Science:

• Gastroenterology
• Surgical Pathology
• Surgical Materials Science

Context:

• Stomitis, an inflammation of the stomach lining, is frequently observed during endoscopic examinations.
• The use of non-absorbable sutures in gastric operations has been linked to an increased incidence of this complication.
• Previous surgical approaches often involved non-absorbable materials for various layers of anastomosis.

Purpose:

• To investigate the association between suture material and the development of stomitis post-gastric surgery.
• To propose the use of absorbable sutures as a preventative measure against stomitis.
• To highlight the importance of suture material choice for all layers of gastric anastomosis.

Summary:

• Stomitis is a common endoscopic finding associated with non-absorbable sutures used in stomach operations.
• Employing absorbable sutures, such as catgut, has been observed to prevent the occurrence of stomitis.
• The recommendation extends to using absorbable threads for both internal and external sutures to mitigate inflammation at the anastomosis.

Impact:

• Suggests a simple yet effective modification in surgical practice to reduce a common post-operative complication.
• Potentially improves patient recovery and reduces the need for further endoscopic interventions.
• Provides evidence-based guidance for surgeons regarding suture material selection in gastric procedures.