title: Application of side-to-side anastomosis of the lesser curvature of stomach and jejunum in gastric bypass.
abstract: OBJECTIVE
  To evaluate the feasibility of side-to-side anastomosis of the lesser curvature of stomach and jejunum in laparoscopic Roux-en-Y gastric bypass (LRYGB).
  
  
  METHODS
  Seventy-seven patients received side-to-side anastomosis of the lesser curvature of stomach and jejunum by utilization of linear stapler in LRYGB from April 2012 to July 2015 were retrospectively analyzed.
  
  
  RESULTS
  All patients were successfully completed laparoscopic gastric bypass with the side-to-side anastomosis of the lesser curvature of stomach and jejunum. No patient was switched to laparotomy during operation. No early complications including gastrointestinal anastomotic bleeding, fistula, obstruction, deep vein thrombosis, incision infections, intra-abdominal hernia complications were found. One patient complicated with stricture of gastrojejunal anastomosis (1.3%) and six patients complicated with incomplete intestinal obstruction (7.8%). BMI and HbA1c determined at 3, 6, 12, 24 mo during follow up period were significantly reduced compared with preoperative baselines respectively. The percentage of patients who maintain HbA1c (%) < 6.5% without taking antidiabetic drugs reached to 61.0%, 63.6%, 75.0%, and 63.6% respectively. The outcome parameters of concomitant diseases were significantly improved too.
  
  
  CONCLUSIONS
  Present surgery is a safety and feasibility procedure. It is effective to lighten the body weight of patients and improve type 2 diabetes and related complications.
authors.affiliation: Ri-Xing Bai, Wen-Mao Yan, You-Guo Li, Jun Xu, Zhi-Qiang Zhong, Ming Yan, Department of General Surgery, Beijing Tian Tan Hospital, Capital Medical University, Beijing 100050, China.
authors.forename: Ri-Xing
authors.initials: RX
authors.lastname: Bai
authors.affiliation: Ri-Xing Bai, Wen-Mao Yan, You-Guo Li, Jun Xu, Zhi-Qiang Zhong, Ming Yan, Department of General Surgery, Beijing Tian Tan Hospital, Capital Medical University, Beijing 100050, China.
authors.forename: Wen-Mao
authors.initials: WM
authors.lastname: Yan
authors.affiliation: Ri-Xing Bai, Wen-Mao Yan, You-Guo Li, Jun Xu, Zhi-Qiang Zhong, Ming Yan, Department of General Surgery, Beijing Tian Tan Hospital, Capital Medical University, Beijing 100050, China.
authors.forename: You-Guo
authors.initials: YG
authors.lastname: Li
authors.affiliation: Ri-Xing Bai, Wen-Mao Yan, You-Guo Li, Jun Xu, Zhi-Qiang Zhong, Ming Yan, Department of General Surgery, Beijing Tian Tan Hospital, Capital Medical University, Beijing 100050, China.
authors.forename: Jun
authors.initials: J
authors.lastname: Xu
authors.affiliation: Ri-Xing Bai, Wen-Mao Yan, You-Guo Li, Jun Xu, Zhi-Qiang Zhong, Ming Yan, Department of General Surgery, Beijing Tian Tan Hospital, Capital Medical University, Beijing 100050, China.
authors.forename: Zhi-Qiang
authors.initials: ZQ
authors.lastname: Zhong
authors.affiliation: Ri-Xing Bai, Wen-Mao Yan, You-Guo Li, Jun Xu, Zhi-Qiang Zhong, Ming Yan, Department of General Surgery, Beijing Tian Tan Hospital, Capital Medical University, Beijing 100050, China.
authors.forename: Ming
authors.initials: M
authors.lastname: Yan
mesh_terms: D000328:Adult; D000368:Aged; D000713:Anastomosis, Roux-en-Y / Q000009:adverse effects / Q000379:methods*; D015992:Body Mass Index; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000473:pathology; D005260:Female; D015390:Gastric Bypass / Q000379:methods; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D059413:Intraabdominal Infections; D007583:Jejunum / Q000601:surgery*; D007813:Laparotomy / Q000379:methods; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D057234:Preoperative Period; D012189:Retrospective Studies; D013270:Stomach / Q000601:surgery*; D055815:Young Adult
chemical_list: D007004:Hypoglycemic Agents
keywords: Bariatric surgery; Gastric bypass; Gastrojejunostomy; Laparoscopic Roux-en-Y gastric bypass; Metabolic surgery; Type 2 diabetes mellitus