Side-to-side and end-to-side anastomosis in partial gastrectomy and hemicolectomy using the EEA stapler

Abstract

We have described a new technique for side-to-side gastrojejunostomy as performed in Billroth II gastrectomy and for end-to-side ileocolostomy after right hemicolectomy utilizing the EEA stapler. By introducing the stapler through the area to be resected, we eliminated the need to close insertion enterostomies. This stapling technique also reduces the hazards and complications associated with multiple pursestring sutures normally required for end-to-end anastomosis with the EEA stapler, since, at most, one such suture is used. With minor modifications, the surgical technique can be applied to other operations in the alimentary tract, thus enhancing the utility of the EEA surgical stapler.