Gastric Bypass


The concept of the gastric bypass is that the gastric pouch and the malabsorption effect of Roux-en Y anastomosis with an 80-120 cm length of the limb will cause a feeling of fullness. He stomach is transected with a linear stapler forming a proximal gastric pouch. The Roux Y limb is brought to the upper abdomen either behind the colon and stomach with an incision at the base of the mesentery of the transverse colon, or is placed in an ante colic position. The ne-to-side anastomosis of the remaining part of the stomach is made either with a hand-sewn, a circular stapler or with an anastomosis technique using a linear stapler side-to-side. The laparoscopic gastric bypass is a viable alternative to traditional open techniques. It is as safe and effective and can be performed with equal or greater efficiency.