Skip to main content
SpringerLink
Log in

Laparoscopic Linear Stapled Running Enterotomy Closure in Roux-en-Y Gastric Bypass Using Absorbable Unidirectional Barbed Suture (Stratafix® 2/0)

  • How I Do It
  • Published:
Obesity Surgery Aims and scope Submit manuscript

Abstract

Background

Laparoscopic running enterotomy closure for linear stapled Roux-en-Y gastric bypass (RYGB) may be enhanced by using unidirectional barbed sutures (Stratafix™ 2/0, Ethicon) as it eliminates the need for knot tying and assistance from a third hand.

Objectives

The objective of this paper is to present our technique using unidirectional barbed sutures (Stratafix™ 2/0, Ethicon).

Methods

After stapling the gastrojejunostomy, we start the closure of the residual enterotomy unidirectional from left to right (single, full-thickness layer) which is cut without a knot. For the jejunojejunostomy, the residual enterotomy is closed perpendicular from top to bottom in order to avoid iatrogenic stricture formation (single, full-thickness layer). No backstitches are performed.

Conclusions

We feel strongly that this technique might enhance running enterotomy closure for linear stapled RYGB.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Blanc P, Lointier P, Breton C, et al. The hand-sewn anastomosis with an absorbable bidirectional monofilament barbed suture Stratafix™ during laparoscopic one anastomosis loop gastric bypass. Retrospective study in 50 patients. Obes Surg. 2015 Dec;25(12):2457–60.

    Article  PubMed  Google Scholar 

  2. Kassir R, Blanc P, Breton C, et al. Laparoscopic Roux-en-Y gastric bypass with the absorbable bidirectional monofilament barbed suture Stratafix™: the hand-sewn technique. Obes Surg. 2015 Feb;25(2):325–6.

    Article  PubMed  Google Scholar 

  3. Kassir R, Breton C, Lointier P, et al. Laparoscopic Roux-en-Y gastric bypass with hand-sewn gastrojejunostomy using an absorbable bidirectional monofilament barbed suture: review of the literature and illustrative case video. Surg Obes Relat Dis. 2014 May-Jun;10(3):560–1.

    Article  PubMed  Google Scholar 

  4. Gys B, Gys T, Lafullarde T. The use of unidirectional knotless barbed suture for enterotomy closure in Roux-en-Y gastric bypass: a randomized comparative study. Obes Surg. 2017 Mar 9; doi:10.1007/s11695-017-2628-3.

Download references

Author information

Authors and Affiliations

  1. AZ Sint-Dimpna, J-.B. Stessensstraat 2,, 2440, Geel, Belgium

    Ben Gys, Tobie Gys, Michael Ruyssers & Thierry Lafullarde

Authors
  1. Ben Gys
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Tobie Gys
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Michael Ruyssers
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Thierry Lafullarde
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ben Gys.

Ethics declarations

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

For this type of study formal consent is not required. Informed consent was obtained from all individual participants included in the study.

Conflict of Interest

The authors declare that they have no conflict of interest.

Grants/Support

None

Electronic supplementary material

Video 1

(MP4 112198 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gys, B., Gys, T., Ruyssers, M. et al. Laparoscopic Linear Stapled Running Enterotomy Closure in Roux-en-Y Gastric Bypass Using Absorbable Unidirectional Barbed Suture (Stratafix® 2/0). OBES SURG 27, 2740–2741 (2017). https://doi.org/10.1007/s11695-017-2870-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11695-017-2870-8

Keywords

Search

Navigation