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Langenbeck's Archives of Surgery

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01-09-2021 | How-I-Do-It articles

Retrocolic retrogastric ROUX-EN-Y gastric bypass: how I do it

Authors: Heitor P. Povoas, Marcos Leão Vilas-Bôas

Published in: Langenbeck's Archives of Surgery | Issue 6/2021

Abstract

Introduction

Technical variations of the laparoscopic Roux-en-Y gastric bypass may influence the incidence of complications such as fistulas, marginal ulcers, stenosis, and internal hernias.

Methods

We described the technical aspects of a retrocolic, retrogastric, laparoscopic gastric bypass procedure with manual gastrojejunostomy and the closure technique for the three mesenteric defects generated by the Roux-en-Y limb reconstruction.

Results

We summarized the data from 587 patients concerning complications directly related to the surgical technique. There were no internal hernias in patients followed, and in only 2 cases, small bowel obstruction related to defect closure occurred.

Conclusions

The retrocolic, retrogastric gastric bypass performed with a meticulous closure of all three mesenteric defects reflects a low incidence of internal hernias and low complication rates related to the closure itself. The technique also allows less tension at the gastrojejunostomy.

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Title: Retrocolic retrogastric ROUX-EN-Y gastric bypass: how I do it
Authors: Heitor P. Povoas
Marcos Leão Vilas-Bôas
Publication date: 01-09-2021
Publisher: Springer Berlin Heidelberg
Published in: Langenbeck's Archives of Surgery / Issue 6/2021
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-021-02187-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Retrocolic retrogastric ROUX-EN-Y gastric bypass: how I do it

Abstract

Introduction

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusions

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