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Pitfall in Bariatric Laporoscopic Surgery: Submucosal Tunneling in Gastric Bypass Anastomosis Intraoperative Detection and Repair

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Authors and Affiliations

  1. Esophagogastric and Bariatric Surgery Unit, Service of General Surgery and Digestive Surgery Hospital del Mar, Passeig Marítim de la Barceloneta, 25-29, 08003, Barcelona, Spain

    Laia Torrent-Jansà, Marc Pérez-Xaus, Anna Casajoana & Manuel Pera

  2. Hospital del Mar Medical Research Institute (IMIM), Passeig Marítim de la Barceloneta, 25-29, 08003, Barcelona, Spain

    Anna Casajoana & Manuel Pera

Authors
  1. Laia Torrent-Jansà
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  2. Marc Pérez-Xaus
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  3. Anna Casajoana
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  4. Manuel Pera
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Corresponding author

Correspondence to Anna Casajoana.

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For this type of study, formal consent is not required. 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.

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The authors declare no competing interests.

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Key points 

• Despite the excellent surgical outcomes of laparoscopic Roux-en-Y gastric bypass (RYGB), the prevention of complications remains a challenge. The gastrojejunostomy can be a technically challenging step.

• Dissecting a false plane into the gastric submucosa can occur while performing the gastrojejunal anastomosis with linear endostapler.

• While performing a gastrojejunostomy, it is important to properly expose the gastric mucosa in order to include the full thickness of the stomach wall before firing the stapler.

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Torrent-Jansà, L., Pérez-Xaus, M., Casajoana, A. et al. Pitfall in Bariatric Laporoscopic Surgery: Submucosal Tunneling in Gastric Bypass Anastomosis Intraoperative Detection and Repair. OBES SURG 32, 1786–1787 (2022). https://doi.org/10.1007/s11695-022-05988-z

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  • DOI: https://doi.org/10.1007/s11695-022-05988-z

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