Abstract
This article describes our approach to the technical aspects of the Roux-en-Y gastric bypass. Because of an unsatisfactory experience with vertical-banded gastroplasty, we changed our primary operative procedure to that of Roux-en-Y gastric bypass. The technical modifications described in this report have been gleaned from experience and complications related to partitioning of the stomach with two staple lines as opposed to our current approach of completely separating the proximal and distal gastric pouches. With the current approach, we have been happy with the results; weight loss has been reproducible, and stomal ulcer formation has been minimal.

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