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Retrocolic retrogastric ROUX-EN-Y gastric bypass: how I do it

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Abstract

Introduction

Technical variations of the laparoscopic Roux-en-Y gastric bypass may influence the incidence of complications such as fistulas, marginal ulcers, stenosis, and internal hernias.

Methods

We described the technical aspects of a retrocolic, retrogastric, laparoscopic gastric bypass procedure with manual gastrojejunostomy and the closure technique for the three mesenteric defects generated by the Roux-en-Y limb reconstruction.

Results

We summarized the data from 587 patients concerning complications directly related to the surgical technique. There were no internal hernias in patients followed, and in only 2 cases, small bowel obstruction related to defect closure occurred.

Conclusions

The retrocolic, retrogastric gastric bypass performed with a meticulous closure of all three mesenteric defects reflects a low incidence of internal hernias and low complication rates related to the closure itself. The technique also allows less tension at the gastrojejunostomy.

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Authors and Affiliations

  1. BAROS – Cirurgia Bariátrica e Metabólica, Av. Prof. Magalhães Neto, 1541, sala 4012/13, Salvador, BA, 41810-011, Brazil

    Heitor P. Povoas & Marcos Leão Vilas-Bôas

Authors
  1. Heitor P. Povoas
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  2. Marcos Leão Vilas-Bôas
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Correspondence to Heitor P. Povoas.

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Povoas, H.P., Vilas-Bôas, M.L. Retrocolic retrogastric ROUX-EN-Y gastric bypass: how I do it. Langenbecks Arch Surg 406, 2059–2065 (2021). https://doi.org/10.1007/s00423-021-02187-9

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