Gastrointestinal anastomosis

Abstract

Gastrointestinal anastomosis is an operation frequently performed in pediatric surgery. Pediatric surgical indications for which gastrointestinal anastomosis may be required include congenital anomalies and inflammatory diseases and may be required as a part of surgical procedures. The key to a successful anastomosis is the accurate union of two viable bowel ends with complete avoidance of tension. In the newborn surgery, with the size and thickness discrepancy between the proximal and distal bowel, we must take great care about surgical techniques. A meticulous suturing technique and adequate strength in tying would be required especially for cases of extremely thin bowel wall. General principles of intestinal anastomosis for congenital intestinal atresia in the neonates are described about sutures, anastomotic method, suture materials, and postoperative complications.