Hand-sewn retrogastric retrocolic gastric bypass
Epublication WebSurg.com, Apr 2012;12(04). URL: http://websurg.com/doi/vd01en3639
Nowadays, the Roux-en-Y gastric bypass has become a gold standard in bariatric surgery. In this procedure, the stomach is divided into a small gastric pouch and a Y-shaped section of the intestine is then fashioned and joined to the gastric pouch. A jejunojejunal anastomosis allows for a restoration of the duodenal continuity. This video demonstrates several technical options for these two anastomoses. Dr. Higa has an outstanding experience in the field and has subsequently been able to ergonomically improve every operative step, which is being shown in detail in the video. Authoritative interaction of the expert with the operating room staff is ideal to promote clear and stepwise explanations throughout the procedure. Antecolic or retrocolic approaches, the necessity to look for a hiatal hernia as well as which type of gastrojejunal anastomosis is required are being discussed. This intervention allows for a true teaching lesson in the field of morbid obesity surgery.