title: Facilitated vertical gastric pouch construction for gastric bypass.
abstract: BACKGROUND
  Efforts to simplify and reduce surgical risk of gastric pouch construction in super obese patients have led to technical changes which are described.
  
  
  METHODS
  Operative technique of vertical gastric pouch construction and hand-sewn Roux gastrojejunostomy are described.
  
  
  RESULTS
  171 patients with average BMI = 55 have undergone gastric bypass with the modified technique, a majority with double stapling of the gastric pouch. Staple-line dehiscence is reduced and operative morbidity is limited.
  
  
  CONCLUSIONS
  Technical changes described have shortened operative time, reduced intraoperative frustrations, and produced limited postoperative morbidity.
authors.affiliation: Department of Surgery, University of Alabama, Birmingham 35233, USA.
authors.forename: J J
authors.initials: JJ
authors.lastname: Gleysteen
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D015390:Gastric Bypass / Q000379:methods*; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D009767:Obesity, Morbid / Q000601:surgery*; D012680:Sensitivity and Specificity; D013270:Stomach / Q000601:surgery*