[Subtotal gastrectomy. Comparison of various mechanical and manual suturing procedures]

A retrospective study analyzed results of 59 lower pole gastrectomies conducted during the same period by the same surgeon, but using different mechanical and manual suturing procedures. Closure of the gastric slice with TA 90 failed to provoke complications and was found to be practical for adaptation to all gastrectomy procedures. Use of the mechanical suture to close the duodenal stump was unable to avoid formation of a duodenal fistula, its prevention being facilitated by gastroduodenostomy.