Roux-en-Y Gastric Bypass for Obesity. How We Do It.

Area of Science:

• Bariatric Surgery
• Minimally Invasive Surgery
• Gastrointestinal Surgery

Background:

• Laparoscopic Roux-en-Y gastric bypass (RYGB) is a key bariatric procedure.
• Established techniques often utilize linear and circular staplers for gastrojejunostomy and jejunojejunostomy.
• Variations in anastomotic techniques aim to improve outcomes and reduce complications.

Purpose of the Study:

• To review and present a specific laparoscopic Roux-en-Y gastric bypass technique.
• To highlight the use of a hand-sewn gastrojejunostomy, based on Dr. Kelvin Higa's initial description from 2000.
• To provide a visual guide of the surgical steps using intraoperative photographs.

Main Methods:

• Description of a laparoscopic Roux-en-Y gastric bypass surgical technique.
• Focus on the performance of a hand-sewn gastrojejunostomy.
• Intraoperative photographic documentation of the procedure.

Main Results:

• The article details a specific surgical methodology for laparoscopic RYGB.
• Intraoperative images visually demonstrate the key steps of the described technique.
• The review focuses on a modification of the traditional stapled approach.

Conclusions:

• The reviewed technique offers an alternative to stapled anastomoses in laparoscopic RYGB.
• Hand-sewn gastrojejunostomy is presented as a viable option for bariatric surgery.
• Visual documentation aids in understanding and potentially replicating the surgical approach.