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Bariatric Surgery

  • Lee J. Skandalakis
  • John E. Skandalakis
Chapter

Abstract

The roux-en-Y gastric bypass has taken on many forms over the last five decades. While it is still performed as an open procedure across much of the country, the laparoscopic variant has enjoyed increasing popularity among bariatric surgeons and patients since Clark and Wittgrove first described their technique in 1994. The advancement of the roux limb may be performed in an antecolic/antegastric, retrocolic/antegastric, or retrocolic/retrogastric fashion. While each of these techniques has its own merits, it is advantageous for the practitioner to understand and be facile with each one; variations in patient anatomy as the situation presents may require the surgeon to diverge from his or her preferred approach.

Keywords

Gastric Bypass Staple Line Gastric Pouch Absorbable Suture Roux Limb 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Lee J. Skandalakis
    • 1
  • John E. Skandalakis
    • 1
  1. 1.Centers for Surgical Anatomy and TechniqueEmory University School of Medicine Piedmont HospitalAtlantaUSA

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