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Laparoscopic Gastric Bypass: Technique and Outcomes

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The ASMBS Textbook of Bariatric Surgery

Abstract

The laparoscopic gastric bypass was once considered to be one of the most challenging minimally invasive operations. It is now the most common foregut operation and, despite its complexity and learning curve, has been shown to be safer and more cost-effective than its open predecessor. The operation has evolved to include a variety of anastomotic techniques and trocar placements, giving individual surgeons the latitude to adopt or modify the procedure based on their own preference and experience.

This chapter will discuss the basic construct and operative techniques in use today; there is no one method that is the “gold standard.” Comparative studies are few, and those that exist only reinforce that there are subtleties to operative technique that defy observation. For example, gastrojejunal stricture rate may be influenced more by preservation of blood supply and operative technique rather than the diameter of the circular stapler. It would be naïve to expect every surgeon to achieve the same results, given the same basic technique; it is up to each individual to modify, adapt, and improve through his or her own experience.

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Author information

Authors and Affiliations

  1. Department of Surgery, Minimally Invasive and Bariatric Surgery, Fresno Heart and Surgical Hospital, University of California San Francisco, 205 E. River Park Circle, STE 460, Fresno, CA, 93720, USA

    Kelvin D. Higa MD

Authors
  1. Kelvin D. Higa MD
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Corresponding author

Correspondence to Kelvin D. Higa MD .

Editor information

Editors and Affiliations

  1. Division of Gastrointestinal Surgery, Department of Surgery, University of California, Irvine Medical Center, Orange, California, USA

    Ninh T. Nguyen

  2. Scottsdale Bariatric Center, Scottsdale, Arizona, USA

    Robin P. Blackstone

  3. Section of Bariatric and Minimally Invasive (BMI) Surgery, Stanford School of Medicine, Stanford, California, USA

    John M. Morton

  4. Bariatric Surgery, Hamilton Medical Center, Dalton, Georgia, USA

    Jaime Ponce

  5. Professor of Surgery and Chairman Department of General Surgery Director, The Bariatric and Metabolic Institute Cleveland Clinic, Weston, Florida, USA

    Raul J. Rosenthal

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Higa, K.D. (2015). Laparoscopic Gastric Bypass: Technique and Outcomes. In: Nguyen, N., Blackstone, R., Morton, J., Ponce, J., Rosenthal, R. (eds) The ASMBS Textbook of Bariatric Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1206-3_15

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  • DOI: https://doi.org/10.1007/978-1-4939-1206-3_15

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1205-6

  • Online ISBN: 978-1-4939-1206-3

  • eBook Packages: MedicineMedicine (R0)

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