title: Non purse-string circular ILS gastro-jejunostomy for Roux-en-Y gastric bypass: a simplified approach.
abstract: A simplified technique to create the gastro-jejunostomy in an open Roux-en-Y gastric bypass is described. The technique of crossing over circular staple-lines with linear hand-sewn suture-lines instead of the traditional purse-string technique, is depicted. The non purse-string technique has been used in 1,928 cases of mini-open Roux-en-Y gastric bypass with only 2 leaks, an incidence of 0.1%. Weight loss and resolution of co-morbidities have been similar to reports by other investigators.
authors.affiliation: Obesity Surgery Center, Inova Fair Oaks Hospital, Fairfax, VA, USA. osvaldo@erols.com
authors.forename: Osvaldo
authors.initials: O
authors.lastname: Anez
authors.forename: Denis
authors.initials: D
authors.lastname: Halmi
authors.forename: Rafael
authors.initials: R
authors.lastname: Canadas
authors.forename: Eunice
authors.initials: E
authors.lastname: Moh
authors.forename: Christine
authors.initials: C
authors.lastname: Tea
mesh_terms: D000713:Anastomosis, Roux-en-Y / Q000295:instrumentation / Q000379:methods; D015390:Gastric Bypass / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007582:Jejunostomy / Q000379:methods; D010535:Laparoscopy / Q000379:methods; D009767:Obesity, Morbid / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D013528:Surgical Staplers; D013718:Tensile Strength