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Step-by-Step Surgery: Roux-en-Y Gastric Bypass

  • Carlos Eduardo Domene
  • Paula Volpe
Chapter

Abstract

The fifteen commandments of Roux-enY Gastric Bypass are described, in a comprehensive step by step procedure, allowing a safe and reproducible surgery for obesity control. The commandments are: abdominal wall puncture using a Veress needle, trocars placement, positioning of liver retractor, removal of the gastroesophageal junction fat pad, creation of a pouch, opening of the greater omentum, elevation of the greater omentum, elevation of the biliopancreatic limb, gastrojejunal anastomosis, closure of the Petersen space, section of the biliopancreatic limb, measurement of the length of the alimentary limb, jejunojejunal anastomosis, closure of the mesenteric defect and the permeability test.

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Carlos Eduardo Domene
    • 1
  • Paula Volpe
    • 1
  1. 1.Hospital São Luiz ItaimSão PauloBrazil

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