27 Laparoscopic Gastric Bypass Using Linear Stapling Technique

  • Bruce D. Schirmer


Roux-en-Y gastric bypass (RYGB), originally described by Mason [1] as a loop technique, was later modified by him to a Roux limb, the technique of which was further popularized by Griffin [2]. MacLean [3] and others confirmed that dividing the stomach was superior to simply stapling it, eliminating the potential for staple line breakdown causing loss of restrictive capacity of the operation. Gastric bypass then underwent few major revisions until Wittgrove and Clark [4] first described the operation being performed laparoscopically. That is the approach now used in the vast majority of procedures.


Gastric bypass Laparoscopic Loop technique Gastrojejunostomy Linear stapling technique 

Supplementary material

Video 1

Short video of each of Figs. 210 (MP4 133734 kb)


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Bruce D. Schirmer
    • 1
  1. 1.Department of SurgeryUniversity of Virginia Health SystemsCharlottesvilleUSA

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