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Laparoscopic totally stapled entero-enterostomy: a safe and reproducible new technique
1Department of Abdominal Surgery, University Clinics Gasthuisberg, Herestraat 49, 3000 Leuven, Belgium.
Background:
Laparoscopic gastric bypass for morbid obesity is a technically demanding procedure, partially because of the necessity to construct two anastomoses. In this study, a new technique to perform the entero-enterostomy is presented.
Methods:
We evaluated the procedure in a consecutive series of 100 patients who underwent laparoscopic gastric bypass. Intra- and postoperative complications were analyzed.
Results:
No complications in relation to the construction of the entero-enterostomy occurred. No leakage, kinking, or stenosis were observed during a mean follow-up of 13.5 months (range 6-20 months).
Conclusion:
This new technique for a totally stapled entero-enterostomy can be recommended.