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Triple-Stapling Technique for Jejunojejunostomy in Laparoscopic Gastric Bypass
Atul K. Madan, MD;
Constantine T. Frantzides, MD, PhD
Arch Surg. 2003;138:1029-1032.
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INTRODUCTION
Since its introduction in 1994,1 laparoscopic gastric bypass has become an increasingly popular procedure for the surgical treatment of morbid obesity. In fact, it has been stated that the most prevalent laparoscopic bariatric procedure in the United States is the gastric bypass.2 Multiple studies have demonstrated the safety and efficacy of this procedure.3-5 One well-designed prospective randomized study by Nguyen et al6 comparing the laparoscopic approach with the open approach showed a shorter convalescence, a shorter hospital stay, and less blood loss with the laparoscopic gastric bypass. In addition, the patients who underwent this procedure had more rapid improvement in their quality of life and an amount of weight loss comparable with that of the patients in the open group.
BACKGROUND
Various techniques have been described for the construction of both gastrojejunostomy and jejunojejunostomy. It appears that there has been a shift . . . [Full Text of this Article]
OPERATIVE TECHNIQUE
COMMENT
From the Departments of Surgery, University of Tennessee–Memphis (Dr Madan) and Rush University, Chicago, Ill (Dr Frantzides).
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Safety and efficacy of initial trocar placement in morbidly obese patients.
Madan and Menachery
Arch Surg 2006;141:300-303.
ABSTRACT
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