DOI: 10.36347/sjams.2021.v09i12.030

Pages: 1944-1948

Background: Gastroenterostomy is a critical surgical procedure frequently employed in gastrointestinal surgeries, particularly in cases of gastric outlet obstruction or malignancy. Traditionally, the double-layer continuous suturing technique has been the standard. However, emerging evidence suggests that the single-layer interrupted technique may offer better outcomes in terms of operative efficiency and reduced complications. Aim: To compare the clinical outcomes and cost-effectiveness of single-layer interrupted gastroenterostomy versus double-layer continuous gastroenterostomy. Method: This prospective, randomized study was conducted at a Tertiary Medical College Hospital in Bangladesh from January 2019 to December 20219. A total of 200 patients requiring gastroenterostomy were randomly assigned into two equal groups: Group A (single-layer interrupted anastomosis) and Group B (double-layer continuous anastomosis). Parameters such as operative time, anastomotic leak rate, postoperative complications, hospital stay, and cost were analyzed. Results: Group A showed a significantly shorter operative time (45 ± 5 minutes) compared to Group B (60 ± 7 minutes). Anastomotic leak rate was lower in Group A (2%) than in Group B (6%). Group A also had fewer postoperative complications and a shorter average hospital stay (5 ± 1 days vs. 7 ± 2 days). The overall cost of treatment, including suture material and hospital stay, was lower in Group A. Conclusion: The single-layer interrupted gastroenterostomy technique is associated with better clinical outcomes and lower healthcare costs compared to the double-layer continuous method. It should be considered the preferred technique, especially in resource-limited settings.