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Improving the side-to-side stapled anastomosis: comparison of staplers for robust crotch formation Masahiro Kimura, M.D., Ph.D., Yoshiyuki Kuwabara, M.D., Ph.D., Satoshi Taniwaki, M.D., Ph.D., Akira Mitsui, M.D., Ph.D., Yasuyuki Shibata, M.D., Ph.D., Shuhei Ueno, M.D. Surgery for Obesity and Related Diseases Volume 14, Issue 1, Pages 16-21 (January 2018) DOI: 10.1016/j.soard.2017.09.532 Copyright © 2017 American Society for Bariatric Surgery Terms and Conditions

Fig. 1 Burst pressure in each stapler. Surgery for Obesity and Related Diseases 2018 14, 16-21DOI: (10.1016/j.soard.2017.09.532) Copyright © 2017 American Society for Bariatric Surgery Terms and Conditions

Fig. 2 Comparison of pressure resistance. Surgery for Obesity and Related Diseases 2018 14, 16-21DOI: (10.1016/j.soard.2017.09.532) Copyright © 2017 American Society for Bariatric Surgery Terms and Conditions

Fig. 3 Burst pressure test. (A) Crotch of the side-to-side anastomosis before insufflation. (B) Insufflated intestine. (C) Just before the leak from the crotch with Echelon Stapler Reloads-White. The arrow is the outermost staple exposed through the intestinal wall. (D) Just before leak from the crotch with Echelon Stapler Reloads-White/Red. The staple at the tip is not seen. Surgery for Obesity and Related Diseases 2018 14, 16-21DOI: (10.1016/j.soard.2017.09.532) Copyright © 2017 American Society for Bariatric Surgery Terms and Conditions