Doldi S B, Montorsi W
Presse Med. 1984 Jun 16;13(25):1571-2.
In 6 of our patients operated upon for pathological obesity, complete recanalization of the jejunum closed by a mechanical suture upstreams of the jejuno-ileal latero-lateral anastomosis resulted in failure of the intestinal bypass. We have modified our technique and instead of closing the jejunum with a mechanical stapler we now divide it, then bury and attach together its two ends to avoid torsion and invagination. The operation is completed by creating an anti-reflux system at the terminal end of the excluded ileum.
在我们为病态肥胖患者实施手术的6例病例中，在空肠回肠侧侧吻合上游用机械缝合关闭的空肠完全再通导致肠道旁路手术失败。我们改进了技术，现在不再用机械吻合器关闭空肠，而是将其切断，然后将两端埋入并连接在一起，以避免扭转和套叠。通过在被排除的回肠末端创建一个抗反流系统来完成手术。
