Non purse-string circular ILS gastro-jejunostomy for Roux-en-Y gastric bypass: a simplified approach.
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.
Anez
Osvaldo
O
Obesity Surgery Center, Inova Fair Oaks Hospital, Fairfax, VA, USA. osvaldo@erols.com
Halmi
Denis
D
Canadas
Rafael
R
Moh
Eunice
E
Tea
Christine
C
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