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Anastomosis

An anastomosis is a surgical connection between two structures. It usually means a connection that is created between tubular structures, such as blood vessels or loops of intestine.

For example, when part of an intestine is surgically removed, the two remaining ends are sewn or stapled together (anastomosed). The procedure is known as an intestinal anastomosis.

Information

Examples of surgical anastomoses are:

  • Arteriovenous fistula (an opening created between an artery and vein) for dialysis
  • Colostomy (an opening created between the bowel and the skin of the abdominal wall)
  • Intestinal, in which two ends of intestine are sewn together
  • A connection between a graft and a blood vessel to create a bypass
Review Date: 5/29/2024

Reviewed By

Debra G. Wechter, MD, FACS, General Surgery Practice Specializing in Breast Cancer, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

References

Galandiuk S, Netz U, Morpurgo E, Tosato SM, Abu-Freha N, Ellis CT. Colon and rectum. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 21st ed. St Louis, MO: Elsevier; 2022:chap 52.

Disclaimer

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. No warranty of any kind, either expressed or implied, is made as to the accuracy, reliability, timeliness, or correctness of any translations made by a third-party service of the information provided herein into any other language. © 1997- A.D.A.M., a business unit of Ebix, Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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Before and after small intestine anastomosis - Illustration Thumbnail

Before and after small intestine anastomosis

In all cases of intestinal obstruction, the intestine involved is carefully examined. If any parts of the intestine look unhealthy from lack of blood flow during the period of obstruction, they are removed and the healthy ends are reconnected.

A patient's recovery depends on the cause of the intestinal obstruction and the length of time prior to relief of the obstruction. The outcome is usually good if the obstruction is treated before damage (ischemia) or death (necrosis) of the bowel occurs.

Illustration

Gastrectomy - Illustration Thumbnail

Gastrectomy

The stomach connects the esophagus to the small intestine, and functions to break up food into small particles that can be absorbed by the small intestine. In cases of chronic stomach problems (such as ulcers), obesity or cancer, partial or total removal of the stomach may be indicated. In the procedure, the diseased portion of the stomach is removed and the small intestine is attached to the remainder of the stomach to maintain the integrity of the digestive tract. The patient will be on nasogastric tube suction to keep the stomach empty and at rest after surgery. After several days, and when the stomach starts to function normally again, the tube will be removed and the patient will begin ingesting clear liquids and gradually progress to a full and normal diet.

Illustration

 
 
Before and after small intestine anastomosis - Illustration Thumbnail

Before and after small intestine anastomosis

In all cases of intestinal obstruction, the intestine involved is carefully examined. If any parts of the intestine look unhealthy from lack of blood flow during the period of obstruction, they are removed and the healthy ends are reconnected.

A patient's recovery depends on the cause of the intestinal obstruction and the length of time prior to relief of the obstruction. The outcome is usually good if the obstruction is treated before damage (ischemia) or death (necrosis) of the bowel occurs.

Illustration

Gastrectomy - Illustration Thumbnail

Gastrectomy

The stomach connects the esophagus to the small intestine, and functions to break up food into small particles that can be absorbed by the small intestine. In cases of chronic stomach problems (such as ulcers), obesity or cancer, partial or total removal of the stomach may be indicated. In the procedure, the diseased portion of the stomach is removed and the small intestine is attached to the remainder of the stomach to maintain the integrity of the digestive tract. The patient will be on nasogastric tube suction to keep the stomach empty and at rest after surgery. After several days, and when the stomach starts to function normally again, the tube will be removed and the patient will begin ingesting clear liquids and gradually progress to a full and normal diet.

Illustration

 
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