A Shorter Circular Stapler Height at the Gastrojejunostomy during a Roux-En-Y Gastric Bypass Results in Less Strictures and Bleeding Complications
Table 2
Complications.
Variable
3.5 mm stapler ()
4.8 mm stapler ()
value
Length of stay (days)
2.5 ± 1.0
3.1 ± 1.2
0.0001
Hemorrhage
Requiring transfusion
9 (6.3)
11 (15.3)
0.04
Hemoglobin prior to transfusion (g/L)
91 ± 18
88 ± 12
0.62
Units of blood delivered
2.1 ± 0.9
2.9 ± 1.5
0.24
Postoperative day 1 hemoglobin (g/L)
123 ± 13
120 ± 14
0.12
Intraluminal bleeding
0
8
Extraluminal bleeding
0
1
Unknown source
9
2
Anastomotic stenosis
Number requiring dilation
5 (3.5)
10 (13.9)
0.008
Time to dilation (days)
61.4 ± 36.0
55.8 ± 34.0
0.79
Average number of dilations required
2.4 ± 1.7
2.3 ± 1.6
0.94
Marginal ulcers
Number
7 (4.9)
3 (4.2)
0.99
Time to presentation (days)
101 ± 60
62 ± 37
0.56
Number requiring surgical revision
1 (0.7)
0 (0)
0.99
Anastomotic leaks
1 (0.7)
0 (0)
0.99
ICU admissions
0 (0)
2 (2.8)
0.11
Reoperation rate (all cause)
9 (6.0)
7 (9.7)
0.41
Re-presentation rate (all cause)
45 (31.5)
16 (22.2)
0.20
Mortality
0 (0)
0 (0)
0.99
Data are presented as numbers with percentages in parentheses or mean ± standard deviation. Statistically significant ( less than 0.05); mm, millimeter; g/L, grams per liter.
