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Laparoscopic gastric bypass for morbid obesity with linear gastroenterostomy.
Obes Surg. 2003 Jun; 13(3):360-3.OS

Abstract

BACKGROUND

Laparoscopic gastric bypass (LGBP) is a well-established procedure for the surgical management of morbid obesity. Most surgeons create the gastroenteral anastomosis by using the circular EEA stapler. We describe an alternative laparoscopic anastomotic technique using the EndoGIA linear stapling device.

METHODS

The stomach was proximally transected with a linear stapler (45 mm, Endo-GIA) to create a 15 to 20 ml pouch. Next, an antecolic Roux-en-Y gastroenterostomy was performed, using the 45 mm Endo-GIA. The proximal loop of the intestine was then separated from the anastomotic site by the Endo-GIA. Finally, the Endo-GIA was used for the intraabdominal creation of a side-to-side enteroenterostomy.

RESULTS

Between June and August 2001, 5 patients with mean BMI 56.7 kg/m(2)+/-7.3 underwent LGBP. All patients were seen 6 months post-surgery. Operating time was 7.5 and 6.5 hours for the first 2 operations, but was under 4.5 h for the next 3 cases. 1 patient suffered from perioperative hypoxia leading to long-term artificial respiration. 6 weeks after surgery, 1 patient developed obstruction due to torsion of the enteroenterostomy and required open revision. The 3 remaining patients made an uneventful recovery. All patients lost considerable weight (mean 36.5 kg; [range 32 to 45] after 6 months). No stenosis or anastomotic leakage was noted.

CONCLUSIONS

A linear stapled anastomosis is an alternative to the use of the circular stapler.

Authors+Show Affiliations

Surgical Clinic, 2nd Department of Surgery, University of Cologne, Germany. michael.korenkov@uni-koeln.deNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

12841894

Citation

Korenkov, M, et al. "Laparoscopic Gastric Bypass for Morbid Obesity With Linear Gastroenterostomy." Obesity Surgery, vol. 13, no. 3, 2003, pp. 360-3.
Korenkov M, Goh P, Yücel N, et al. Laparoscopic gastric bypass for morbid obesity with linear gastroenterostomy. Obes Surg. 2003;13(3):360-3.
Korenkov, M., Goh, P., Yücel, N., & Troidl, H. (2003). Laparoscopic gastric bypass for morbid obesity with linear gastroenterostomy. Obesity Surgery, 13(3), 360-3.
Korenkov M, et al. Laparoscopic Gastric Bypass for Morbid Obesity With Linear Gastroenterostomy. Obes Surg. 2003;13(3):360-3. PubMed PMID: 12841894.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laparoscopic gastric bypass for morbid obesity with linear gastroenterostomy. AU - Korenkov,M, AU - Goh,P, AU - Yücel,N, AU - Troidl,H, PY - 2003/7/5/pubmed PY - 2003/10/24/medline PY - 2003/7/5/entrez SP - 360 EP - 3 JF - Obesity surgery JO - Obes Surg VL - 13 IS - 3 N2 - BACKGROUND: Laparoscopic gastric bypass (LGBP) is a well-established procedure for the surgical management of morbid obesity. Most surgeons create the gastroenteral anastomosis by using the circular EEA stapler. We describe an alternative laparoscopic anastomotic technique using the EndoGIA linear stapling device. METHODS: The stomach was proximally transected with a linear stapler (45 mm, Endo-GIA) to create a 15 to 20 ml pouch. Next, an antecolic Roux-en-Y gastroenterostomy was performed, using the 45 mm Endo-GIA. The proximal loop of the intestine was then separated from the anastomotic site by the Endo-GIA. Finally, the Endo-GIA was used for the intraabdominal creation of a side-to-side enteroenterostomy. RESULTS: Between June and August 2001, 5 patients with mean BMI 56.7 kg/m(2)+/-7.3 underwent LGBP. All patients were seen 6 months post-surgery. Operating time was 7.5 and 6.5 hours for the first 2 operations, but was under 4.5 h for the next 3 cases. 1 patient suffered from perioperative hypoxia leading to long-term artificial respiration. 6 weeks after surgery, 1 patient developed obstruction due to torsion of the enteroenterostomy and required open revision. The 3 remaining patients made an uneventful recovery. All patients lost considerable weight (mean 36.5 kg; [range 32 to 45] after 6 months). No stenosis or anastomotic leakage was noted. CONCLUSIONS: A linear stapled anastomosis is an alternative to the use of the circular stapler. SN - 0960-8923 UR - https://www.unboundmedicine.com/medline/citation/12841894/Laparoscopic_gastric_bypass_for_morbid_obesity_with_linear_gastroenterostomy_ L2 - https://dx.doi.org/10.1381/096089203765887660 DB - PRIME DP - Unbound Medicine ER -