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Obesity Surgery

, Volume 15, Issue 8, pp 1096–1102 | Cite as

Experience with the Circular Stapler for the Gastrojejunostomy in Laparoscopic Gastric Bypass (350 Cases)

  • Juan Antonio Luján
  • Maria Dolores Frutos
  • Quiteria Hernández
  • Jose Ramón Cuenca
  • Graciela Valero
  • Pascual Parrilla
Article

Background: The increased incidence of morbid obesity has resulted in an increase in bariatric surgery. The gastrojejunostomy performed during Roux-en-Y gastric bypass (RYGBP) operations has technical variability with different outcomes and complication-rates immediate postoperatively and at long-term follow-up. Methods: Between Jan 2000 and Feb 2005, 350 laparoscopic RYGBP procedures were performed. We present our immediate and follow-up rate of complications with total intraabdominal gastrojejunostomy, performed with the circular stapler. Results: Complications of gastrojejunostomy were detected in 24 patients (6.8%): 3 anastomotic leaks (0.8%); 6 bleeding (1.7%) immediately postoperatively, and 4 stenoses (1.1%), 10 ulcers (2.8%) and 1 stenosis plus ulcer (0.3%) during long-term follow-up. There was no mortality related to the gastrojejunostomy. Conclusions: The gastrojejunostomy with circular stapler is an easily reproducible procedure. The rate of complications has been low. Surgeons who perform laparoscopic RYGBP should have a careful learning curve, and should be aware of the potential complications and their management.

MORBID OBESITY GASTROJEJUNOSTOMY GASTRIC BYPASS LAPAROSCOPY SURGICAL TECHNIQUE 

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Copyright information

© Springer 2005

Authors and Affiliations

  • Juan Antonio Luján
    • Maria Dolores Frutos
      • Quiteria Hernández
        • Jose Ramón Cuenca
          • Graciela Valero
            • Pascual Parrilla

              There are no affiliations available

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