Laparoscopic Roux-en-Y Gastric Bypass: Hand-Sewn Gastrojejunostomy Technique

  • Kelvin Higa


The current popularity of bariatric surgery is attributable, in part, to the minimally invasive solutions developed in the 1990s. In previous decades, although surgeons had demonstrated excellent results and low complication rates, medical professionals, third-party payers, and the public showed little acceptance of these procedures. Currently, the limitations of medical management and the exponential rise in obesity rates have contributed to a demand that far outweighs the supply of bariatric surgeons. It was estimated in 2001 that there may be as many as 20,000 prospective patients per bariatric surgeon (1). Therefore, it is important that surgeons maintain or improve operative efficiency when adopting new techniques while more surgeons are trained in this specialty.


Bariatric Surgery Gastric Bypass Morbid Obesity Gastric Pouch Internal Hernia 
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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Kelvin Higa
    • 1
  1. 1.Department of SurgeryUniversity of California at San Francisco, Fresno Medical ProgramFresnoUSA

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