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[The laboratory study on biofragmentable anastomosis rings (BAR) in gastrointestinal tract reconstruction]
1Third Department of Surgery, Liaoning Cancer Hospital, University of Tokyo.
Abstract:
To study and investigate the feasibility of biofragmentable anastomosis ring (BAR) for gastrointestinal (GI) tract reconstruction, we performed gastroenterostomy in 34 dogs. BAR anastomoses were performed with proper outer diameter and gape size in small bowel in 8 cases, in large bowel in 11 cases, in esophagus in 12 cases, in esophago-intestinal in 2 cases, in gastrojejunum in 1 cases. The postoperative serial X-ray examinations showed that BAR maintained good integration two weeks postoperation. The ring disintegrated into several small fragments that passed out of the body in feces from the 14th postoperative day after surgery. All of the dogs were killed on the 28th operative day and autopsied. The anastomosis site had smooth serosa and scar membrane in gross and were substituted by regenerative fibrous tissue. The specimen barim-air double contrast X-ray revealed that GI tract was coherent without leakage and stenosis. Therefor, the authors recognized that BAR can be recommended as a safe technique in GI operation.