Laparoscopic biliopancreatic diversion with duodenal switch: hand-sewn anastomosis
Epublication WebSurg.com, Feb 2012;12(02). URL: http://websurg.com/doi/vd01en3574
This video illustrates our technique of laparoscopic biliopancreatic diversion with duodenal switch. The stomach is first mobilized from the antrum to the angle of His. The first part of the duodenum is dissected and transected 3 to 4cm distal to the pylorus. A sleeve gastrectomy is then performed. The small bowel is then transected 250cm from the ileocaecal valve. The biliary limb is anastomosed to the ileum to create a 100cm common channel. The alimentary limb is anastomosed to the duodenum using a hand-sewn technique to create a 250cm alimentary channel.