Use of the EEA stapling device in anastomoses of the small intestine

A technical modification is described for introducing the EEA stapler into the small intestinal lumen for anastomosis without creating an additional enterotomy. This method, which permits a more rapid formation of anastomoses, has been used to form Roux-en-Y jejunojejunostomies without extensive complications in six patients. Such a technique may have particular application when multiple anastomoses are contemplated in fragile patients with chronic disease.