• M A Tolga Muftuoglu, Erkan Ozkan, and Abdullah Saglam.
• Fourth General Surgical Department of Haydarpasa Numune Teaching and Training Hospital, Uskudar 34668, Istanbul, Turkey. tmuftuglu@ttnet.net.tr
• Am. J. Surg. 2004 Aug 1; 188 (2): 200-3.

BackgroundSeveral suture materials are used for pancreatojejunal anastomosis. In this study, we tested the durability of these suture materials in human pancreatic juice and bile.MethodsPlain and chromic catgut, polyglactin 910, polyglycolic acid, polydioxanone, polypropylene, and silk sutures were incubated in pancreatic juice and bile that was collected from patients. Fifteen samples of each type of suture material were placed in human juices for 1, 3, and 7 days. Tensile strengths were measured with a tensionmeter.ResultsPlain and chromic catgut disintegrated in pancreatic juice and pancreatic juice plus bile mixture. Polyglycolic acid and polyglactin 910 suture materials were vulnerable to pancreatic juice within 7 days. Polydioxanone retained most of its initial strength in pancreatic juice and bile. Polypropylene and silk retained 84% and 92% of their initial strength, respectively.ConclusionsWe found that polidioxanone was the strongest suture material in pancreatic juice.

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