@article{oai:nagoya.repo.nii.ac.jp:00016640, author = {NAGAYA, TAKAYOSHI}, issue = {1}, journal = {Nagoya Journal of Medical Science}, month = {Jun}, note = {There remains still many arguments over the best method of intestinal anastomosis which can be used for newborn as well as adult despite many efforts and studies made since the beginning of the 19th century. The method of anastomosis which can be used for adult intestine of relatively large caliber is not always applicable to the intestine of small children, especially of the newborn, without complications, such as stenosis and obstruction due to inverted cuff, edema or kinking at the site of anastomosis. An experimental study was performed on dogs in order to find an ideal intestinal anastomosis which can be performed on patients of pediatric age. Comparative studies of three different methods of inverting intestinal anastomosis; Standard anastomosis1) (double-layer inverting anastomosis, or Lembert-Albert anastomosis), Halsted anastomosis 2) (single-layer inverting anastomosis), and Czerny anastomosis3l (single-layer serosa-submucosa inverting anastomosis) were made from the standpoint of complications which are often encountered in association with operation. Seventy-nine anastomoses were constructed in 36 dogs and were compared from the standpoints of adhesions and obstruction at the site of anastomosis either due to inverted cuff or due to kinking. Every specimen of intestinal anastomosis was examined histologically. The results indicated that Czerny anastomosis seems to be superior to other anastomoses from these standpoints, and suggest that Czerny anastomosis would be an excellent method, useful clinically in both adult and newborn.}, pages = {41--68}, title = {An Experimental Study of Inverting Intestinal Anastomoses}, volume = {34}, year = {1971} }