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Difficult case of laparoscopic Roux-en-Y gastric bypass

M Vix, MD J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Apr 2013;13(04). URL: http://websurg.com/doi/vd01en3902

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  • 2013-04-08
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A perfect surgical standardization helps to perform a laparoscopic Roux-en-Y gastric bypass in usually simple conditions. Consequently, the procedure does not pose any particular technical problems. A low-fat diet contributes to the reduction in the volume of the liver and to some extent in the volume of the omentum. However, the exposure of the superior part of the stomach may still be uneasy. This video demonstrates the difficulty to expose the cardia and to perform a small gastric pouch.