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- Title
Laparoscopic antecolic Roux-en-Y gastric bypass with closure of internal defects leads to fewer internal hernias than the retrocolic approach.
- Authors
Steele, K E; Prokopowicz, G P; Magnuson, T; Lidor, A; Schweitzer, M
- Abstract
Laparoscopic Roux-en-Y gastric bypass surgery reportedly has a higher rate of postoperative internal hernias than open bypass surgery. Even with closure of mesenteric defects, hernias occur in up to 9% of cases. To minimize this complication, an antecolic antegastric approach to anastomosis of the Roux limb and gastric pouch has been used. Whereas the retrocolic retrogastric technique creates three mesenteric defects, the antecolic approach produces only two: Petersen's defect and the jejunojejunostomy. The rate of internal hernias was compared among patients undergoing laparoscopic Roux-en-Y gastric bypass surgery using the retrocolic and antecolic approaches.
- Publication
Surgical endoscopy, 2008, Vol 22, Issue 9, p2056
- ISSN
1432-2218
- Publication type
Journal Article
- DOI
10.1007/s00464-008-9749-7