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Alternative Method of Mesenteric Defect Closure after Roux-en-Y Gastric Bypass

  • Eugene Wang
  • Timothy ShopeEmail author
Video Submission
  • 112 Downloads

Abstract

Background

Roux-en-Y gastric bypass is the gold standard for weight loss surgery. This procedure creates two to three mesenteric defects, depending on ante-colic versus retro-colic technique. Current literature supports mesenteric defect closure, but there is no consensus on how to best close these defects. Described options include running separate suture lines for each defect, or employing endoscopic staplers for defect closure.

Methods

This is a video/dynamic manuscript on operative technique.

Results

We describe an alternative technique that does not require an extra laparoscopic instrument and is more efficient than traditional suture lines due to less suturing.

Conclusions

The technique maintains low gastric bypass complication rates by closing mesenteric defects, while keeping intra-operative costs low, and minimizing time spent on the defect closures.

Keywords

Mesenteric defect Internal hernia Gastric bypass Closure Technique One suture 

Notes

Authorship

Conception, design, overall responsibility: TS

Writing the article: EW, TS

Critical revision of the article: TS

Final approval of the article: TS

Compliance with Ethical Standards

Funding and Conflict of Interest Statement

The authors (Author 1, Author 2) declare no conflicts of interest. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Informed Consent and Human Rights Statement

Does not apply

Supplementary material

ESM 1

(MP4 280,474 kb)

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Surgery, Section of Advanced Laparoscopic and Bariatric SurgeryMedStar Washington Hospital CenterWashingtonUSA

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