Clinical Experience Using Biofragmentable Ring for Ileo-Ileo Anastomosis

The biofragmentable anastomosis ring (BAR) was introduced in 1985. The BAR is made of polyglycolic acid polymer and barium sulfate.It fragments into small pieces after polymer hydrolycolic acid polymer and barium sulfate.It fragments into small pieces after polymer hydrolysis and completely passes out of the body in about 3 weeks.The BAR was originally designed for colonic anastomosis.We have recently used it for ileo-ileal anastomosis in 3 patients who underwent urinary tract diversion with pelvic exenteration (1 case) or with radical cystectomy (2 cases).No complication, such as wound infection, intra-abdominal abscess,anastomosis.This is about half as long as that of sutured anastomosis. On the plain abdominal X-ray, the shadow of the BAR is a safe, easy, swift, and a satisfactory procedure.The BAR maintains the patency of the intestinal lumen until the anastomotic site heals up.Tere were no residual foreign bodies after the fragments were discharged in the stool.

biofragmentable anastomosis ring

bowel anastomosis

urinary diversion