Abstract
The gastrojejunal anastomosis is arguably the most challenging and crucial step of the laparoscopic Roux-en-Y gastric bypass. Either hand sewn or stapling devices can be used to good effect. Both hand sewn and linear stapled techniques can take time and are not easy. This is a quick, easy and safe method of performing this anastomosis. We describe the circular stapler technique employing different placement methods, and its advantages and disadvantages.
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References
Wittgrove AC, Clark GW. Combined laparoscopic/endoscopic anvil placement for the performance of the gastroenterostomy. Obes Surg. 2001;11(5):565–9.
Nguyen NT, Stevens CM, Wolfe BM. Incidence and outcome of anastomotic stricture after laparoscopic gastric bypass. J Gastrointest Surg. 2003;7(8):997–1003; discussion 1003.
Himpens JM. The gastrojejunostomy in laparoscopic Roux-en-Y gastric bypass. Semin Laparosc Surg. 2004;11(3):171–7.
Stahl RD, Sherer RA, Seevers c, Johnston D. Comparison of 21 vs. 25 mm gastrojejunostomy in the gastric bypass procedure—early results. Obes Surg. 2000;10(6):540–2.
Shope TR, Cooney RN, McLeod J, Miller CA, Haluck RS. Early results after laparoscopic gastric bypass: EEA vs GIA stapled gastrojejunal anastomosis. Obes Surg. 2003;13(3):355–9.
Nguyen NT, Wolfe BM. Hypopharyngeal perforation during laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2000;10(1):64–7.
Alasfar F, Sabnis A, Liu R, Chand B. Reduction of circular stapler-related wound infection in patients undergoing laparoscopic Roux-en-Y gastric bypass, Cleveland clinic technique. Obes Surg. 2010;20(2):168–72.
Higa G, Szomstein S, Rosenthal R. Stapling of orogastric tube during gastrojejunal anastomosis: an unusual complication after conversion of sleeve gastrectomy to laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2012;8(1):116–8.
Nguyen N, Rivers R, Wolfe B. Early gastrointestinal hemorrhage after laparoscopic gastric bypass. Obes Surg. 2003;13(1):62–5.
Thodiyil PA, Yenumula P, Rogula T, Gorecki P, Fahoum B, Gourash W, et al. Selective nonoperative management of leaks after gastric bypass: lessons learned from 2675 consecutive patients. Ann Surg. 2008;248(5):782–92.
Kligman MD, Thomas C, Saxe J. Effect of the learning curve on the early outcomes of laparoscopic Roux-en-Y gastric bypass. Am Surg. 2003;69(4):304–9; discussion 309–10.
Schauer P, Ikramuddin S, Hamad G, Gourash W. The learning curve for laparoscopic Roux-en-Y gastric bypass is 100 cases. Surg Endosc. 2003;17(2):212–5.
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Owers, C.E., Ackroyd, R. (2016). LRYGB: The Circular Stapler Technique (Includes Transoral as well as Transabdominal Anvil Placement). In: Agrawal, S. (eds) Obesity, Bariatric and Metabolic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-04343-2_20
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DOI: https://doi.org/10.1007/978-3-319-04343-2_20
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-04342-5
Online ISBN: 978-3-319-04343-2
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