@article{article_1091286, title={Comparison of stapler and hand-sewn roux en Y jejunal anastomosis in children}, journal={Cukurova Medical Journal}, volume={47}, pages={1424–1430}, year={2022}, DOI={10.17826/cumj.1091286}, author={Alkan, Murat and Tutuş, Kamuran and Türker Çolak, Selcan and Fakıoğlu, Ender and Kılıç, Şeref Selçuk and Ozden, Onder and Tuncer, Recep}, keywords={Roux en Y, Anastomoz, Stapler, Çocuklar}, abstract={outcomes of stapled and hand-sewn Roux-en-Y intestinal anastomoses in childhood. Materials and Methods: At a university hospital, the records of the children who underwent roux-en-Y anastomosis between December 2007 and December 2014 were reviewed. The data were compared according to the roux-en-Y anastomosis technique used (stapled versus hand-sewn). Results: A total of 52 patients had undergone roux-en-Y anastomosis. All had biliary atresia or choledochal cyst. Thirty-one of the patients were diagnosed with biliary atresia and 21 with choledochal cysts. Staple anastomosis technique was used in 16 of the patients with biliary atresia and 9 of the patients with choledochal cyst. Both in biliary atresia and choledochal cyst cases; operations with stapled anastomosis were significantly shorter than the ones with hand-sewn anastomosis. Among the biliary atresia cases, post-operative oral feeding was initiated significantly earlier in the stapled group, with its lower risks of post-operative cholangitis and longer hospital stay than 7 days. Conclusion: This is the first study in children, confirming the time-saving advantage of stapled anastomosis over hand-sewn, during roux-en-Y anastomosis for biliary atresia and choledochal cyst; along with the safety of stapler use, including the neonates. Stapled anastomosis yields lower complication rates, faster function gain with earlier feeding and hospital discharge.}, number={4}, publisher={Çukurova Üniversitesi}