Linear Stapled Technique for Gastrojejunal Anastomosis

  • Paul A. Thodiyil
  • Tomasz Rogula
  • Philip R. Schauer


Since its first description by Dr. Allan Wittgrove et al. (1) in 1994, the technique of laparoscopic Roux-en-Y gastric bypass has undergone a number of modifications. In the original description, the gastrojejunostomy was created with a 21-mm circular stapler, with the anvil introduced transorally. While there were no esophageal injuries in the first 1400 patients (2), there has been some concern about esophageal injuries and a reported higher incidence of gastrojejunal anastomotic strictures (3).


Gastric Bypass Gastric Pouch Linear Stapler Roux Limb Laparoscopic Gastric Bypass 


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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Paul A. Thodiyil
    • 1
  • Tomasz Rogula
    • 2
  • Philip R. Schauer
    • 3
    • 4
  1. 1.Department of SurgeryThe Cleveland Clinic FoundationClevelandUSA
  2. 2.Bariatric and Metabolic Institute, Department of General SurgeryCleveland ClinicClevelandUSA
  3. 3.Lerner College of MedicineUSA
  4. 4.Advanced Laparoscopic and Bariatric Surgery, Bariatric and Metabolic InstituteThe Cleveland Clinic FoundationClevelandUSA

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