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Iso- or antiperistaltic anastomosis: does it matter?
A D Houghton1, P Liepins, S Clarke
1Department of Surgery, Guys Hospital and Medical School, London, UK.
Abstract:
To assess the importance of gastrojejunal anastomoses being performed in an isoperistaltic manner, 25 rats underwent solid and liquid gastric emptying studies before and at 1, 2, 3, 4, 8, 12 and 16 weeks after a Polya-type gastrectomy. No differences between the two anastomotic directions were evident, either in the deaths associated with post-operative gastric dilatation, or in the rates of solid and liquid gastric emptying following surgery.