Knotless tissue control devices for hand-sewn gastrojejunostomy in robotic-assisted Roux-en-Y gastric bypass
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By
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Stephen Johnston
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Najmuddin Gunja
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Aakash Jha
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Walter Danker
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Shanthi Krishnaswami
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Zhun Cao
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Barbara Johnson
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Jörg Tomaszewski
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June 17, 2026
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Objective:
To evaluate STRATAFIX Spiral KTCD in hand-sewn gastrojejunostomy in robotic-assisted RYGB and compare KTCD vs. alternative means of anastomosis.
Approach:
Key Findings:
- Limited data exists on the use of barbed sutures for hand-sewn gastrojejunostomy in RYGB.
- KTCD may improve tissue approximation without the need for surgical knots.
- The study addresses a gap in evidence regarding the safety and effectiveness of KTCD in gastrointestinal anastomoses.
Interpretation:
The study aims to evaluate the effectiveness of KTCD in robotic-assisted RYGB for gastrojejunostomy.
Limitations:
- The study is limited to hospitals that exclusively performed robotic-assisted RYGB with KTCD.
- Data is retrospective and may not capture all variables influencing outcomes.
Conclusion:
The study seeks to clarify the role of KTCD in robotic-assisted RYGB.
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