Knotless tissue control devices for hand-sewn gastrojejunostomy in robotic-assisted Roux-en-Y gastric bypass - Report - MDSpire

Knotless tissue control devices for hand-sewn gastrojejunostomy in robotic-assisted Roux-en-Y gastric bypass

  • By

  • Stephen Johnston

  • Najmuddin Gunja

  • Aakash Jha

  • Walter Danker

  • Shanthi Krishnaswami

  • Zhun Cao

  • Barbara Johnson

  • Jörg Tomaszewski

  • June 17, 2026

  • 0 min

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Barbed Suture Devices for Hand-Sewn Gastrojejunostomy in Robotic RYGB

Overview

This study evaluates the use of STRATAFIX Spiral Knotless Tissue Control Devices (KTCD) in hand-sewn gastrojejunostomy during robotic Roux-en-Y gastric bypass (RYGB). It compares postoperative outcomes of patients using KTCD versus alternative anastomosis methods.

Background

Roux-en-Y gastric bypass (RYGB) is a common bariatric procedure that requires precise tissue approximation to prevent complications such as leakage. The use of barbed sutures like KTCD may enhance surgical efficiency and tissue integrity, but the safety and effectiveness of KTCD for gastrointestinal anastomoses have not been established. This study aims to address the evidence gap regarding the use of KTCD in robotic-assisted RYGB.

Data Highlights

No numerical data or trial data was provided in the source material.

Key Findings

  • Prior research has shown limited data on barbed sutures for hand-sewn gastrojejunostomy in RYGB.
  • The study utilized a retrospective analysis of data from the Premier Healthcare Database.
  • Patient outcomes were assessed for those undergoing robotic-assisted RYGB with KTCD versus alternative methods.
  • The study highlights a gap in evidence regarding the safety and effectiveness of KTCD for gastrointestinal anastomoses.

Clinical Implications

The findings indicate that the safety and effectiveness of KTCD for gastrointestinal use have not been established, necessitating further research.

Conclusion

The study identifies the need for more comprehensive data to support the use of KTCD in gastrointestinal anastomoses.

Related Resources & Content

  1. Frontiers in Surgery, 2026 -- Robotic hand-sewn vs. laparoscopic linear-stapled Roux-en-Y gastric bypass: a propensity score-matched analysis of primary and conversion cases
  2. Journal of Gastrointestinal Surgery, 2023 -- The Use of the ALBS Technique for Esophagojejunostomy Following Completely Robotic Radical Total Gastrectomy
  3. Updates in Surgery, 2023 -- Initial Experience with Robotic Roux-en-Y Gastric Bypass Utilizing the HugoTM RAS Platform in 15 Patients
  4. Surgical Endoscopy, 2021 -- Comparing Linear and Circular Techniques: An Overview of Anastomotic Ulcers Following Gastric Bypass Surgery
  5. American Society for Metabolic and Bariatric Surgery, 2024 -- Literature review on risk factors, screening recommendations, and prophylaxis for marginal ulcers after metabolic and bariatric surgery
  6. PubMed, 2023 -- Primary Robotic Versus Conventional Laparoscopic Roux-en-Y Gastric Bypass in Morbidly Obese Patients: A Systematic Review and Meta-Analysis
  7. PubMed, 2020 -- Barbed versus conventional thread used in laparoscopic gastric bypass: a systematic review and meta-analysis
  8. American Society for Metabolic and Bariatric Surgery literature review on risk factors, screening recommendations, and prophylaxis for marginal ulcers after metabolic and bariatric surgery
  9. Primary Robotic Versus Conventional Laparoscopic Roux-en-Y Gastric Bypass in Morbidly Obese Patients: A Systematic Review and Meta-Analysis - PubMed
  10. Barbed versus conventional thread used in laparoscopic gastric bypass: a systematic review and meta-analysis - PubMed

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