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Laparoscopic Roux-en-Y Gastric Bypass Utilizing the Triple Stapling Technique
OBJECTIVE: To evaluate the outcomes of a single surgeon's experience with laparoscopic Roux-en-Y gastric bypass (LRYGB) utilizing the triple stapling technique for creation of the jejunojejunostomy. METHODS: A retrospective review of patients who underwent LRYGB utilizing the triple stapling te...
Autores principales: | , , , , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
Society of Laparoendoscopic Surgeons
2006
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3016129/ https://www.ncbi.nlm.nih.gov/pubmed/16882415 |
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author | Frantzides, Constantine T. Zeni, Tallal M. Madan, Atul K. Zografakis, John G. Moore, Ronald E. Laguna, Luis |
author_facet | Frantzides, Constantine T. Zeni, Tallal M. Madan, Atul K. Zografakis, John G. Moore, Ronald E. Laguna, Luis |
author_sort | Frantzides, Constantine T. |
collection | PubMed |
description | OBJECTIVE: To evaluate the outcomes of a single surgeon's experience with laparoscopic Roux-en-Y gastric bypass (LRYGB) utilizing the triple stapling technique for creation of the jejunojejunostomy. METHODS: A retrospective review of patients who underwent LRYGB utilizing the triple stapling technique for creation of the jejunojejunostomy (JJ) between 10/01 and 12/04 was performed. RESULTS: LRYGB was performed in 435 consecutive patients. The mean age was 41 years (range, 14 to 68), and 82% were female. Mean initial body mass index was 50 (range, 35 to 91). One conversion to open (0.2%) was necessary. Mean operating time was 144±26 minutes. Mean length of stay was 2.3±1.5 days. There were 3 leaks at the gastrojejunostomy anastomosis (0.7%). No leaks occurred at the JJ anastomosis. One patient underwent revision of the JJ (0.2%) secondary to obstruction of the JJ on upper gastrointestinal study. Intraluminal bleeding occurred in 21 patients (4.8%). Patients required blood transfusion of 2.2±1.1 units (range, 0 to 5), but none required surgical or endoscopic intervention. Mortality occurred in 2 patients (0.5%). Mean excess body weight loss was 72% at 1 year. CONCLUSION: Construction of the jejunojejunostomy utilizing the triple stapling technique is expeditious, safe, and associated with minimal complication. |
format | Text |
id | pubmed-3016129 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2006 |
publisher | Society of Laparoendoscopic Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-30161292011-02-17 Laparoscopic Roux-en-Y Gastric Bypass Utilizing the Triple Stapling Technique Frantzides, Constantine T. Zeni, Tallal M. Madan, Atul K. Zografakis, John G. Moore, Ronald E. Laguna, Luis JSLS Scientific Papers OBJECTIVE: To evaluate the outcomes of a single surgeon's experience with laparoscopic Roux-en-Y gastric bypass (LRYGB) utilizing the triple stapling technique for creation of the jejunojejunostomy. METHODS: A retrospective review of patients who underwent LRYGB utilizing the triple stapling technique for creation of the jejunojejunostomy (JJ) between 10/01 and 12/04 was performed. RESULTS: LRYGB was performed in 435 consecutive patients. The mean age was 41 years (range, 14 to 68), and 82% were female. Mean initial body mass index was 50 (range, 35 to 91). One conversion to open (0.2%) was necessary. Mean operating time was 144±26 minutes. Mean length of stay was 2.3±1.5 days. There were 3 leaks at the gastrojejunostomy anastomosis (0.7%). No leaks occurred at the JJ anastomosis. One patient underwent revision of the JJ (0.2%) secondary to obstruction of the JJ on upper gastrointestinal study. Intraluminal bleeding occurred in 21 patients (4.8%). Patients required blood transfusion of 2.2±1.1 units (range, 0 to 5), but none required surgical or endoscopic intervention. Mortality occurred in 2 patients (0.5%). Mean excess body weight loss was 72% at 1 year. CONCLUSION: Construction of the jejunojejunostomy utilizing the triple stapling technique is expeditious, safe, and associated with minimal complication. Society of Laparoendoscopic Surgeons 2006 /pmc/articles/PMC3016129/ /pubmed/16882415 Text en © 2006 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way. |
spellingShingle | Scientific Papers Frantzides, Constantine T. Zeni, Tallal M. Madan, Atul K. Zografakis, John G. Moore, Ronald E. Laguna, Luis Laparoscopic Roux-en-Y Gastric Bypass Utilizing the Triple Stapling Technique |
title | Laparoscopic Roux-en-Y Gastric Bypass Utilizing the Triple Stapling Technique |
title_full | Laparoscopic Roux-en-Y Gastric Bypass Utilizing the Triple Stapling Technique |
title_fullStr | Laparoscopic Roux-en-Y Gastric Bypass Utilizing the Triple Stapling Technique |
title_full_unstemmed | Laparoscopic Roux-en-Y Gastric Bypass Utilizing the Triple Stapling Technique |
title_short | Laparoscopic Roux-en-Y Gastric Bypass Utilizing the Triple Stapling Technique |
title_sort | laparoscopic roux-en-y gastric bypass utilizing the triple stapling technique |
topic | Scientific Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3016129/ https://www.ncbi.nlm.nih.gov/pubmed/16882415 |
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