Anastomosites in the early postoperative period using extramucous intestinal suture in the upper gastrointestinal tract, probe gastrointestinal system and therapeutic and diagnostic endoscopy

Purpose of a study: endoscopic assessment of anastomositis in the early postoperative period during the formation of single-row and double-row anastomoses in the upper gastrointestinal tract with extramucosal intestinal sutures using a probe gastrointestinal system and therapeutic and diagnostic endoscopy.

Material and methods. The results of treatment of 200 patients were studied, in whom anastomoses were applied with extramucosal serous-muscular-submucosal sutures, a probe system was installed for decompression and enteral nutrition, early therapeutic and diagnostic endoscopy with ultrasonography, endoscopic intraluminal stimulation of the function and patency of anastomoses were performed, visual and ultrasound assessment of anastomositis classified according to grade IV. The main group (142 patients) with single-row anastomoses, the control group (58 patients) with double-row anastomositis.

Results. The use of extramucosal intestinal sutures, a gastrointestinal probe system, and therapeutic and diagnostic endoscopy contributed to a reduction in treatment times and uncomplicated healing of the intestinal suture in 89% of cases with single-row anastomoses and 68% of cases with double-row anastomoses, classified as zero- and first-degree anastomositis. An increase in the length of hospital stay and a higher number of second and third degree anastomositis were observed in the control group (20%) versus 10.7% in the main group.

Conclusion. The use of extramucosal intestinal sutures, a probe gastrointestinal decompression system and enteral nutrition against the background of early therapeutic and diagnostic endoscopy allows to reduce the number of severe anastomoses, the time of restoration of the motor-evacuation function of the upper gastrointestinal tract and the duration of hospital stay of patients.

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