Complications associated with the use of gastrointestinal stapling devices

Complications arising in the intraoperative and postoperative period were assessed over a 2-year period in 132 patients in whom gastroinestinal operations had been performed using the TA-type or GIA-type stapling devices. Specific complications are described and their relationship to the staple-suture technique is evaluated. Bleeding from the anastomotic line is believed to be a complication directly attributable to the technique. Technical errors in the use of the device, as well as mechanical malfunction, can contribute to morbidity or mortality. Methods for avoding staple-related complications are suggested. The history of stapling instruments is reviewed briefly.