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Experience with the circular stapler for the gastrojejunostomy in laparoscopic gastric bypass (350 cases).
Obes Surg. 2005 Sep; 15(8):1096-102.OS

Abstract

BACKGROUND

The increased incidence of morbid obesity has resulted in an increase in bariatric surgery. The gastrojejunostomy performed during Roux-en-Y gastric bypass (RYGBP) operations has technical variability with different outcomes and complication-rates immediate postoperatively and at long-term follow-up.

METHODS

Between Jan 2000 and Feb 2005, 350 laparoscopic RYGBP procedures were performed. We present our immediate and follow-up rate of complications with total intraabdominal gastrojejunostomy, performed with the circular stapler.

RESULTS

Complications of gastrojejunostomy were detected in 24 patients (6.8%): 3 anastomotic leaks (0.8%); 6 bleeding (1.7%) immediately postoperatively, and 4 stenoses (1.1%), 10 ulcers (2.8%) and 1 stenosis plus ulcer (0.3%) during long-term follow-up. There was no mortality related to the gastrojejunostomy.

CONCLUSIONS

The gastrojejunostomy with circular stapler is an easily reproducible procedure. The rate of complications has been low. Surgeons who perform laparoscopic RYGBP should have a careful learning curve, and should be aware of the potential complications and their management.

Authors+Show Affiliations

Departamento de Cirugía General Hospital Universitario "Virgen de la Arrixaca", Murcia, Spain. juanlujan@telefonica.netNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16197778

Citation

Luján, Juan Antonio, et al. "Experience With the Circular Stapler for the Gastrojejunostomy in Laparoscopic Gastric Bypass (350 Cases)." Obesity Surgery, vol. 15, no. 8, 2005, pp. 1096-102.
Luján JA, Frutos MD, Hernández Q, et al. Experience with the circular stapler for the gastrojejunostomy in laparoscopic gastric bypass (350 cases). Obes Surg. 2005;15(8):1096-102.
Luján, J. A., Frutos, M. D., Hernández, Q., Cuenca, J. R., Valero, G., & Parrilla, P. (2005). Experience with the circular stapler for the gastrojejunostomy in laparoscopic gastric bypass (350 cases). Obesity Surgery, 15(8), 1096-102.
Luján JA, et al. Experience With the Circular Stapler for the Gastrojejunostomy in Laparoscopic Gastric Bypass (350 Cases). Obes Surg. 2005;15(8):1096-102. PubMed PMID: 16197778.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Experience with the circular stapler for the gastrojejunostomy in laparoscopic gastric bypass (350 cases). AU - Luján,Juan Antonio, AU - Frutos,Maria Dolores, AU - Hernández,Quiteria, AU - Cuenca,Jose Ramón, AU - Valero,Graciela, AU - Parrilla,Pascual, PY - 2005/10/4/pubmed PY - 2005/12/24/medline PY - 2005/10/4/entrez SP - 1096 EP - 102 JF - Obesity surgery JO - Obes Surg VL - 15 IS - 8 N2 - BACKGROUND: The increased incidence of morbid obesity has resulted in an increase in bariatric surgery. The gastrojejunostomy performed during Roux-en-Y gastric bypass (RYGBP) operations has technical variability with different outcomes and complication-rates immediate postoperatively and at long-term follow-up. METHODS: Between Jan 2000 and Feb 2005, 350 laparoscopic RYGBP procedures were performed. We present our immediate and follow-up rate of complications with total intraabdominal gastrojejunostomy, performed with the circular stapler. RESULTS: Complications of gastrojejunostomy were detected in 24 patients (6.8%): 3 anastomotic leaks (0.8%); 6 bleeding (1.7%) immediately postoperatively, and 4 stenoses (1.1%), 10 ulcers (2.8%) and 1 stenosis plus ulcer (0.3%) during long-term follow-up. There was no mortality related to the gastrojejunostomy. CONCLUSIONS: The gastrojejunostomy with circular stapler is an easily reproducible procedure. The rate of complications has been low. Surgeons who perform laparoscopic RYGBP should have a careful learning curve, and should be aware of the potential complications and their management. SN - 0960-8923 UR - https://www.unboundmedicine.com/medline/citation/16197778/Experience_with_the_circular_stapler_for_the_gastrojejunostomy_in_laparoscopic_gastric_bypass__350_cases__ L2 - https://dx.doi.org/10.1381/0960892055002220 DB - PRIME DP - Unbound Medicine ER -