Comparison of 21 vs. 25 mm gastrojejunostomy in the gastric bypass procedure--early results.
BACKGROUND
Many bariatric surgeons consider a small gastrojejunostomy stoma critical to the success of gastric bypass.


METHODS
We retrospectively compared a 21 vs. 25 mm gastrojejunostomy in 50 patients undergoing gastric bypass for morbid obesity.


RESULTS
31 patients were constructed with a 21 mm EEA, group I, and 19 with a 25 mm, group II. Average percent of excess body weight lost was 61%, 65%, and 64% at 12, 15, and 18 months follow-up in the group I patients, vs. 61%, 67%, and 69% in the group B patients. Differences were not significant. Complaints of nausea, vomiting, and/or dysphagia were similar between the groups.


CONCLUSIONS
The choice of a 21 or 25 mm gastrojejunostomy does not appear to alter the success of gastric bypass surgery and can be based upon surgeon preference.
Stahl
R D
RD
Cahaba Valley Surgical Group, Alabaster, AL, USA.
Sherer
R A
RA
Seevers
C E
CE
Johnston
D
D
D015992:Body Mass Index; D015390:Gastric Bypass; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D007582:Jejunostomy / Q000379:methods*; D009767:Obesity, Morbid / Q000601:surgery; D012189:Retrospective Studies; D016896:Treatment Outcome