Suture-line ulcer after gastric surgery caused by non-absorbable suture materials

Gear, M. W. L.; Dowling, Barbara

doi:10.1002/bjs.1800570510

Cited by 27 publications

(5 citation statements)

References 5 publications

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“…Non‐absorbable suture materials have also been implicated in late post‐operative complications in other situations; for example in the formation of common bile duct stones following cholecystectomy 5 , renal tract stones 6 and recurrent peptic ulceration 7 . In addition, granulomatous tissue reaction to suture material may simulate neoplasia 8 .…”

Section: Discussionmentioning

confidence: 99%

“…Non-absorbable suture materials have also been implicated in late post-operative complications in other situations; for example in the formation of common bile duct stones following cholecystectomy', renal tract stones' and recurrent peptic ulceration 7 • In addition, granulomatous tissue reaction to suture material may simulate neoplasia", Of the various non-absorbable sutures silk and linen have an affinity for bacteria which correlates with their propensity to encourage infection'. This is not true of monofilament nylon and prolene but the handling properties I.…”

Section: Case Reportsmentioning

confidence: 99%

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Complications of Non‐Absorbable Ligatures in Thyroid Surgery

MacLennan

1985

Int J Clinical Practice

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Section: Discussionmentioning

confidence: 99%

Section: Case Reportsmentioning

confidence: 99%

Complications of Non‐Absorbable Ligatures in Thyroid Surgery

MacLennan

1985

Int J Clinical Practice

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“…In about 10 Vo of all patients examined post-operatively, sero-muscular sutures of non-absorbable suture material (silk, mersiline), can be seen invading the intestinal lumen. Since these sutures can be the cause of ulcers, pain, infections and seeping haemorrhages, they should be removed (1,5,8).…”

Section: The Removal Of Non-absorbable Suture Materialsmentioning

confidence: 99%

New Aspects of Therapeutic Coloscopy

Frühmorgen¹,

Zeus²,

Demling³

1975

Endoscopy

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SunzmaryWithin 1523 coloscopic examinations, on 299 occasions, the primarily diagnostic procedure was, at the same time, a therapeutic one. We were able to develop reliable methods, suitable also for routine application, for the electro-surgical removal of polypoid lesions of the colon (n=282) with the aid of closed or open high-frequency loops, for the extraction of foreign bodies (n=1) and for the removal of non-absorbable suture material (n=5). Although not yet "ripe" for routine applications, we have already gained initial experience with treatment by injection (n = 5) and successful electro-coagulation of bleeding and non-bleeding haemangiomas (n=5), and have carried out first experimental investigations into the application of the laser in Bar: colon. In an further case we made an electroresection of an inoperable carcinoma as a palliative treatment.The diagnostic value of endoscopic and bioptic examinations of the entire colon is unquestionable. Now, however, by employing suitable fibreglass endoscopes provided with one or two instrument channels, and also new techniques and supplementary instruments, therapeutic procedures have become possible (2).In this study, we wish to report on the electro-surgical removal of polypoid lesions, on the extraction of foreign bodies, the removal of non-absorbable suture material, on treatment with injections, elektrocoagulation, electroresection of inoperable malignomas, and on laser endoscopy, and to describe our own experiences in these fields. MethodWith the aid of the conventional singlechannel coloscopes manufactured by the firms Endoscopy 7 (1975) 59-63 C) Georg Thieme Verlag, Stuttgart Neue Aspekte der therapeutischen Koloskopie Bei 1523 Koloskopien war der primar diagnostische Eingriff 299mal zugleich eine therapeutische Mafinahme. Dabei konnten ebenso sichere wie auch routinemalig anwendbare Methoden zur elektrochirurgischen Abtragung von polypoiden Dickdarmlasionen (n = 282) mit geschlossenen und offenen Hochfrequenz-Diathermieschlingen sowie zur Extraktion von Fremdkarpern (n = 1) und zur Entfernung nicht resorbierbaren Nahtmaterials (n = 5) entwickelt werden. Wenngleich noch nicht routinemaBig anwendbar, haben wir erste klinische Erfahrungen mit der Injektionsbehandlung (n = 5) und erfolgreichen Elektrokoagulation (n=5) blutender und nicht blutender Hamangiome sammeln kannen und experimentelle Untersuchungen zur Laseranwendung im Dickdarm durchgefiihrt. In einem weiteren Fall wurde als Palliativmaßnahme eine Elektroresektion eines inoperablen Kolonkarzinoms vorgenommen.of Olympus, ACMI and Machida, and also with the new two-channel "operation coloscopes", F9-A made by ACMI, and FCS-2 W made by Machida, we have, to date, carried out a total of 1523 coloscopic examinations. On 299 occasions, the primarily diagnostic procedure was, at the same time, a therapeutic one (Table 1).The techniques employed have been discribed in detail elsewhere (2, 3). Results The electrosurgical removal of polypoid lesionsFor the electrosurgical removal of polypoid lesions, we have ...

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“…The rarest type of recurrent ulceration is suture-line ulcer, which usually occurs in subjects having very low acid outputs (19). It may follow any kind of gastric surgery in which nonabsorbable suture material is used in some layer of the gastric wall (10,19,22,26). The incidence after gastric resection is reported to be as low as 0.27N, but suture-line ulcers are increasingly recognized with the more widespread use of endoscopic techniques.…”

Section: Ulkusrezidiv Nach Magenresektion -Eine Gastrophotographischementioning

confidence: 99%

Recurrent Ulceration Following Gastric Resection — A Gastrophotographic and Roentgenographic Study

Gabrielsson¹

1972

Endoscopy

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A series of 50 cases following Billroth I and II gastric resection with recurrent ulceration diagnosed by gastrophotography was investigated to establish the incidence, size, depth, and location of different types of ulceration. Peptic stomal ulcer was the most common and suture-line ulcer, with protruding suture material, the rarest type of ulcer. The peptic stomal ulcers were concentrated within a small area on the lesser curvature and the jejunal ulcers within the posterior half of the intestine towards the efferent loop. The prospects of diagnosing superficial ulcers by conventional roentgenography were extremely poor and many shallow ulcers were also missed especially following Billroth II resection. After this type of operation the stomal ulcers were most easily overlooked.

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Suture-line ulcer after gastric surgery caused by non-absorbable suture materials

Cited by 27 publications

References 5 publications

Complications of Non‐Absorbable Ligatures in Thyroid Surgery

Complications of Non‐Absorbable Ligatures in Thyroid Surgery

New Aspects of Therapeutic Coloscopy

Recurrent Ulceration Following Gastric Resection — A Gastrophotographic and Roentgenographic Study

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