A rapid and simple technique for intestinal anastomoses with a circular stapling instrument.

A recently developed stapling device (EEA, Auto Suture Co., USA), which was initially introduced for the construction of low-lying rectal anastomoses, successfully accomplished end-to-end esophagojejunostomies, end-to-side Roux-en-Y small bowel anastomoses, and end-to-end ileocolonic anastomoses. The different anastomoses were performed in five dogs; there were good results and no complications. This instrument is easy to use, saves times, and creates safe anastomoses. We suggest its wide use in gastrointestinal surgery.