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Laparoscopic Roux-en-Y gastric bypass with linear gastrojejunostomy: occurrence of postsurgical complications

M Vix, MD G Sojod, MD J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, May 2013;13(05). URL: http://websurg.com/doi/vd01en3941

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  • 2013-05-13
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Roux-en-Y gastric bypass is a common procedure in bariatric surgery. It can be perfectly standardized in order to make it technically easier to perform and to reduce risks of postoperative complications. This video shows a conventional gastric bypass procedure with linear gastrojejunostomy. The intervention ran smoothly. Twenty-four hours postoperatively, the patient complained of abdominal pain. Serum chemistries demonstrated severe inflammatory signs. An emergency CT-scan demonstrated a gastrojejunal fistula. It was decided to perform an emergency laparoscopic reintervention. An anastomotic dehiscence was identified and sutured. The postoperative outcome was finally uneventful.