Abstract
Background
Laparoscopic gastric bypass for morbid obesity is a technically demanding procedure, partially because of the necessity to construct two anastomoses. In this study, a new technique to perform the entero-enterostomy is presented.
Methods
We evaluated the procedure in a consecutive series of 100 patients who underwent laparoscopic gastric bypass. Intra- and postoperative complications were analyzed.
Results
No complications in relation to the construction of the entero-enterostomy occurred. No leakage, kinking, or stenosis were observed during a mean follow-up of 13.5 months (range 6–20 months).
Conclusion
This new technique for a totally stapled entero-enterostomy can be recommended.
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References
Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM. Prevalence of overweight and obesity in the United States, 1999–2004. JAMA. 2006;295:1549–55.
Key TJ, Allen NE, Spencer EA, Travis RC. The effect of diet on risk of cancer. Lancet. 2002;360:861–68.
Fontaine KR, Redden DT, Wang C, Westfall AO, Allison DB. Years of life lost due to obesity. JAMA. 2003;289:187–93.
Patterson EJ, Urbach DR, Swanstrom LL. A comparison of diet and exercise therapy versus laparoscopic Roux-en-Y gastric bypass surgery for morbid obesity: a decision analysis model. J Am Coll Surg. 2003;196:379–84.
Gould JC, Garren MJ, Starling JR. Lessons Learned from the first 100 cases in a new minimally invasive bariatric surgery program. Obes Surg. 2004;14:618–25.
Nguyen NT, Neuhaus AM, Furdui GG, Wolfe BM, Ho HS, Palmer LS. A prospective evaluation of intracorporeal laparoscopic small bowel anastomosis during gastric bypass. Obes Surg. 2001;11:196–9.
Gastrointestinal surgery for severe obesity 25–27 March 1991. Obes Surg. 1991;1:257–65.
Marshall JS, Srivastava A, Gupta SK, Rossi TR, DeBord JR. Roux-en-Y gastric bypass leak complications. Arch Surg. 2003;138:520–4.
Schauer PR, Ikramuddin S, Gourash W, Ramanathan R, Luketich J. Outcomes after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Ann Surg. 2000;232:515–29.
Podnos YD, Jimenez JC, Wilson SE, Stevens CM, Nguyen NT. Complications after laparoscopic gastric bypass: a review of 3464 cases. Arch Surg. 2003;138:957–61.
Wittgrove AC, Clark GW, Tremblay LJ. Laparoscopic gastric bypass, Roux-en-Y: preliminary report of five cases. Obes Surg. 1994;4:353–7.
Nguyen NT, Huerta S, Gelfand D, Stevens CM, Jim J. Bowel obstruction after laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2004;14:190–6.
Suter M, Giusti V, Heraief E, Zysset F, Calmes JM. Laparoscopic Roux-en-Y gastric bypass: initial 2-year experience. Surg Endosc. 2003;17:603–9.
Suter M, Paroz A, Calmes JM, Giusti V. European experience with laparoscopic Roux-en-Y gastric bypass in 466 obese patients. Br J Surg. 2006;93:726–32.
Frantzides CT, Zeni TM, Madan AK, Zografakis JG, Moore RE, Laguna L. Laparoscopic Roux-en-Y Gastric bypass utilizing the triple stapling technique. J Soc Laparoendosc Surg. 2006;10:176–9.
Acknowledgment
This study was supported in part by an educational grant from Tyco Healthcare, Belgium.
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Lannoo, M., Smet, B., Miserez, M. et al. Laparoscopic Totally Stapled Entero-Enterostomy: A Safe and Reproducible New Technique. OBES SURG 18, 631–634 (2008). https://doi.org/10.1007/s11695-007-9363-0
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DOI: https://doi.org/10.1007/s11695-007-9363-0