[Enteral anastomoses in the area of the upper gastrointestinal tract with the biofragmentable anastomosis ring].

In a prospective study, 184 enteral anastomoses in the upper G1-tract using the biofragmentable anastomosis ring (BAR) Valtrac are described in 136 patients. 43 patients had 2 or 3 BAR in upper GIT, 4 patients one BAR in upper and one BAR in lower GIT and 1 patient had 2 BAR in lower GIT. 152 small bowel-small bowel anastomoses, 23 gastroenterostomies, 2 small bowel-colon and 6 colon anastomoses were created. One insufficiency was seen in a small bowel to small bowel anastomoses and one in a gastroenterostomy. One bleeding occurred in the anastomotic region of a gastroenterostomy. Even in cases of multiple use of the BAR no stenoses occurred. The use of these rings can be recommended beside in colon and small bowel to colon anastomoses also in upper GIT.