Abstract
Background: The present report describes the technical details of laparoscopic bypass for morbid obesity.
Methods: The laparoscopic approach was attempted in eight patients and completed in six. In these latter patients the stomach was divided with an endoscopic linear cutter (ETC 60 Ethicon), and a antecolic jejunal loop was brought to the proximal pouch and anastomosed by use of manual suture technique supported with locking clips for knotting substitutes [Lapra-Ty (Ethicon)]. Distal to the gastrojejunostomy a side-to-side enteroanastomosis was also performed.
Results: Five patients in whom the laparoscopic procedure was completed had an unevenful postoperative period and a rapid recovery. However, one patient had a postoperative left-sided pleuropneumonia that required prolonged hospital stay. Of those who were converted, one was because of a large steatotic left liver lobe and another was due to a perforation of the small intestine.
Conclusions: These early results indicate that gastric bypass for the treatment of morbid obesity can be safely performed with laparoscopic techniques. Further development in this field should be encouraged.
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Lönroth, H., Dalenbäck, J., Haglind, E. et al. Laparoscopic gastric bypass. Surg Endosc 10, 636–638 (1996). https://doi.org/10.1007/BF00188517
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DOI: https://doi.org/10.1007/BF00188517