Laparoscopic Roux-En-Y Gastric Bypass

  • Astrid R. Soares-Medina
  • Marc P. Michalsky
  • Bradley J. Needleman


This chapter describes the surgical procedure for laparoscopic Roux-en-Y gastric bypass. The text includes an introduction that outlines the indications, risks, alternatives, essential steps, needed equipment, and variations in technique for the procedure in question. This is followed by a template operative dictation, which provides the reader with an operative report, such as is found in a patient chart or electronic medical record. A description is provided of the following critical concepts for this procedure: position and trocars placement, creation of the biliopancreatic limb (jejunojejunostomy), creation of gastric pouch, and creation of gastric bypass (gastrojejunostomy).


Pediatric surgery Operative dictation Bariatric surgery Bypass Laparoscopic 

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Astrid R. Soares-Medina
    • 1
  • Marc P. Michalsky
    • 2
  • Bradley J. Needleman
    • 3
  1. 1.Assistant Professor of Clinical Surgery and Pediatrics, Ponce Health Sciences University School of Medicine, Mayagüez Medical Center, Department of Pediatric SurgeryMayagüezUSA
  2. 2.Professor of Clinical Surgery and Pediatrics, The Ohio State University College of Medicine, Nationwide Children’s Hospital, Department of Pediatric SurgeryColumbusUSA
  3. 3.The Edwin H. and E. Christopher Ellison Professor of Surgery, The Ohio State University College of Medicine, Wexner Medical Center, Department of SurgeryColumbusUSA

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