Mechanical-Stapled Versus Hand-Sutured Anastomoses in Billroth-I Reconstruction with Distal Gastrectomy

Purpose In June 2000, we started performing mechanical-stapled anastomosis (MSA) for Billroth-I reconstruction (B-I) in distal gastrectomy. Thus, we performed a retrospective study to compare the clinical outcome of MSA and conventional hand-sutured anastomosis (HA).