{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T22:09:08Z","timestamp":1761948548202,"version":"3.41.2"},"reference-count":22,"publisher":"FapUNIFESP (SciELO)","issue":"3","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"abstract":"<jats:p>ABSTRACT Background: In high-income countries, morbid obesity is a growing health problem that has already reached epidemic proportions. When performing a laparoscopic gastric bypass several operative methods exist. Aim: To describe the institutional experience using a knotless unidirectional barbed suture (V-Loc 180\/Covidien, Mansfield, MA) to create a hand-sewn gastrojejunostomy (GJ) and jejunojejunostomy (JJ) during bariatric surgery. Methods: Evaluation of a case series of 87 morbidly obese patients who underwent laparoscopic gastric bypass with a hand-sewn gastrojejunostomy (GJA) and jejunojejunostomy (JJA) between 01\/2015 and 06\/2017. The patients were divided into two groups: in group I, GJA und JJA sutures were performed using the knotless unidirectional barbed suture; in group II, GJA and JJA were sutured with resorbable multifilament thread (Vicryl\u00ae 3\/0 Ethicon, Livingstone, UK). The recorded data on gender, age, BMI, ASA score, operative time, postoperative morbidity, length of hospital stay, and reoperation, were analyzed and compared. Results: All procedures were completed laparoscopically with no mortality. The mean operative time was 123.23 (\u00b130.631) in group I and 127.57 (\u00b142.772) in group II (p&lt;0.05). The postoperative complications did not differ significantly between the two groups. Early complications were observed for two patients (0.9%) in the barbed suture group and for one patient (0.42%) in the multifilament suture group (p&lt;0.05). In group I two patients (0.9%) required reoperation: on the basis of jejunojejunal stenosis in one patient, and local abscess near the gastrojejunostomy, without a leakage, in the other. In group II one patient (0.42%) required reoperation due to stenosis of the GJA. The duration of hospital admission was similar for both groups: 3.36 (\u00b10.743) days in group I vs. 3.38 (\u00b11.058) days in group II (p&lt;0.05). Conclusion: The novel anastomotic technique is a safe and effective method and can be applied to gastrojejunal anastomosis and jejunojejunal anastomosis in laparoscopic gastric bypass.<\/jats:p>","DOI":"10.1590\/0102-672020190001e1452","type":"journal-article","created":{"date-parts":[[2019,10,19]],"date-time":"2019-10-19T19:40:03Z","timestamp":1571514003000},"source":"Crossref","is-referenced-by-count":8,"title":["ROUTINE USE OF V-LOCK\u00ae SUTURE FOR BARIATRIC ANASTOMOSIS IS SAFE: COMPARATIVE RESULTS FROM CONSECUTIVE CASE SERIES"],"prefix":"10.1590","volume":"32","author":[{"given":"Claudia","family":"BURES","sequence":"first","affiliation":[{"name":"Charit\u00e9-Universit\u00e4tsmedizin Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philippa","family":"SEIKA","sequence":"additional","affiliation":[{"name":"Charit\u00e9-Universit\u00e4tsmedizin Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"DENECKE","sequence":"additional","affiliation":[{"name":"Charit\u00e9-Universit\u00e4tsmedizin Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johann","family":"PRATSCHKE","sequence":"additional","affiliation":[{"name":"Charit\u00e9-Universit\u00e4tsmedizin Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5438-9627","authenticated-orcid":false,"given":"Ricardo","family":"ZORRON","sequence":"additional","affiliation":[{"name":"Klinikum Ernst von Bergmann Potsdam, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2019]]},"reference":[{"issue":"10","key":"ref1","doi-asserted-by":"crossref","first-page":"1195","DOI":"10.1001\/jama.286.10.1195","article-title":"The continuing epidemics of obesity and diabetes in the United 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Innov"},{"issue":"6","key":"ref8","doi-asserted-by":"crossref","first-page":"e39","DOI":"10.1016\/j.jamcollsurg.2011.09.004","article-title":"Laparoscopic technique and initial experience with knotless, unidirectional barbed suture closure for staple-conserving, delta-shaped gastroduodenostomy after distal gastrectomy","volume":"213","author":"Lee SW","year":"2011","journal-title":"J Am Coll Surg"},{"issue":"1","key":"ref9","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1007\/s11695-012-0763-4","article-title":"Barbed versus usual suture for closure of the gastrojejunal anastomosis in laparoscopic gastric bypass a comparative trial","volume":"23","author":"De Blasi V","year":"2013","journal-title":"Obes Surg"},{"issue":"10","key":"ref10","doi-asserted-by":"crossref","first-page":"893","DOI":"10.1089\/lap.2011.0281","article-title":"In vivo assessment of an absorbable and nonabsorbable knotless barbed suture for laparoscopic single-layer enterotomy closure a clinical and 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Roux-en-Y gastric bypass: a study comparing unidirectional barbed monofilament and multifilament absorbable suture","volume":"27","author":"Costantino F","year":"2013","journal-title":"Surg Endosc"},{"issue":"9","key":"ref21","doi-asserted-by":"crossref","first-page":"756","DOI":"10.1089\/lap.2013.0030","article-title":"Safety and efficacy of barbed suture for gastrointestinal suture a prospective and randomized study on obese patients undergoing gastric bypass","volume":"23","author":"Milone M","year":"2013","journal-title":"J Laparoendosc Adv Surg Tech A"},{"issue":"12","key":"ref22","doi-asserted-by":"crossref","first-page":"1385","DOI":"10.1016\/j.ijsu.2014.10.030","article-title":"Totally hand-sewn anastomosis using barbed suture device during laparoscopic gastric bypass in obese. A feasibility study and preliminary results","volume":"12","author":"Palmisano S","year":"2014","journal-title":"Int J Surg"}],"container-title":["ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S\u00e3o Paulo)"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/abcd\/v32n3\/0102-6720-abcd-32-03-e1452.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,2]],"date-time":"2022-10-02T05:25:18Z","timestamp":1664688318000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-67202019000300401&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019]]},"references-count":22,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019]]}},"alternative-id":["S0102-67202019000300401"],"URL":"https:\/\/doi.org\/10.1590\/0102-672020190001e1452","relation":{},"ISSN":["2317-6326","0102-6720"],"issn-type":[{"type":"electronic","value":"2317-6326"},{"type":"print","value":"0102-6720"}],"subject":[],"published":{"date-parts":[[2019]]},"article-number":"e1452"}}