Enteroenterostomy Periprocedural Care

Updated: Mar 23, 2020
  • Author: Vinay K Kapoor, MBBS, MS, FRCSEd, FICS, FAMS; Chief Editor: Vikram Kate, FRCS, MS, MBBS, PhD, FACS, FACG, FRCS(Edin), FRCS(Glasg), FIMSA, MAMS, MASCRS, FFST(Ed)  more...
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Periprocedural Care

Patient Education and Consent

The patient should be informed about the possibility of an anastomotic leak and subsequent need for reintervention, including reoperation.



A fine (3-0 or 4-0) synthetic long-acting absorbable polyfilament suture (eg, polyglactin) on a small (20-mm) curved (half-circle) round-bodied needle is used for a single-layer intestinal anastomosis. For a two-layer anastomosis, the outer layer may be nonabsorbable and the inner layer absorbable.

A linear stapler (30 mm, 60 mm, 90 mm) or a transverse anastomosis (TA) stapler (30 mm, 45 mm, 60 mm, 90 mm) is used for closure of ends. A linear cutter (55 mm, 75 mm, 100 mm) or a gastrointestinal anastomosis (GIA) stapler (60 mm, 80 mm, 100 mm) is used for anastomosis. Note that the biofragmentable anastomotic ring (BFAR) is no longer used for enteroenterostomy.


Patient Preparation


General anesthesia is required for enteroenterostomy.


The patient should be in the supine position.


Monitoring & Follow-up

After the procedure, intravenous fluids should be started. Patients should be given nothing by mouth; oral clear fluids can be started the morning following surgery (unless obstruction or ileus was present), progressing to liquid diet, soft solids, and a normal diet over a few days.

A nasogastric tube is not required unless the patient has an intestinal obstruction or has peritonitis and ileus.