SUTURELESS CHOLECYSTOJEJUNOSTOMY IN PIGS USING AN ABSORBABLE INTRALUMINAL STENT AND FIBRIN GLUE

The absence of foreign bodies in sutureless anastomoses provides faste r healing. The first sutureless cholecystojejunostomies were reported by Murphy in 1892. The common bile duct was tied and 11 cholecystojeju nostomies plus 12 jejunojejunostomies were performed in 12 Landrace pi gs employing sliding absorbable intraluminal nontoxic stents (SAINTs) and fibrin glue. One cholecystojejunostomy was not performed owing to a gallbladder morphologic anomaly. Three animals died of problems unre lated to the SAINT-glue anastomoses. Of the 18 anastomoses in the 9 re maining animals, all were patent at the verification times of 14, 30, 120, and 480 days. Morphologically, there was greater edema and reduce d height of the glandular epithelium in the 30-day CJs when compared t o the jejunojejunal anastomoses. Results indicate that the sutureless SAINT-fibrin glue procedure is quite versatile and may be utilized for cholecystoenteric anastomoses.