Abstract
Questionaire, designed regarding the technique of alimentary tract anastomosis, was sent to 200 Japanese pediatric surgeons and 144 (71.3%) answers were obtained. For esophago-esophagostomy, one layer anastomosis (59) is most popular, secondly the Haigt type procedure (33) and thirdly two layer anastomosis (16). For duodeno-duodenostomy, one layer on the posterior and two layer suture on the anterior wall is adovocated by 69 surgeons. One layer anastomosis and two layer anastomosis on the both anterior and posterior walls (30 and 23 respectively) are also adopted. For high jejuno-jejunostomy, end-to-back anastomosis is popular. One layer anastomosis is used by 49 surgeons and two layer anastomosis by 69. Plasty of the dilated proxymal pouch is controversial. For ileo-ileostomy in newborn, special type of anastomosis such as Halsted, Gambee, vertical mattress or others are attempted by 10 surgeons. However classical two layer anastomosis is still most preferred. Autosuture device (GIA) is preferred by 30 surgeons when along side-to-side anastomosis such as Martin's operation is performed. In general, silk is the most popular suture material. Dexon, Tevdec and cutgut are also used. 5-0 suture is used in the most occations.
