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Title
1. Endoscopy/Port Placement
2. Lysis of Adhesions and Hiatal Dissection
3. Vagotomy
4. Hiatal Hernia Repair
5. Division of Roux Limb
6. Partial Gastrectomy/Resection of Ulcer
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a. Remove Adhesions and Mesentery
b. Dissection of stomach
c. Division of Gastric Remnant
d. Dissection of Remnant Off of Pouch
e. Dissection of Remnant/Pouch/Roux Limb Confluence (Resection of Ulcer)
f. Completion of Remnant Dissection
7. Rerouting of Roux Limb
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a. Oversew Staple Line of Remnant
b. Mobilize Jejunal Mesentery
c. Evaluation of Jejunal Anastomosis
d. Evaluation of Jejunal Common Channel
e. Division of Attachments of Roux Limb to Mesocolon
f. Identification of Ligament Treitz/Creation of Mesocolonic Window
g. Passage of Jejunum through Transverse Mesocolon
8. New GJ Anastomosis
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a. First layer of Anastomosis
b. Testing of Anastomosis
c. Second Layer of Anastomosis
9. Endoscopy for Testing of Anastomosis
10. Closure
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Laparoscopic Gastric Bypass Revision
Deborah D. Tsao, BS
1
;
Janey Sue Pratt, MD
2
1
Medical Student, Stanford University School of Medicine
2
Massachusetts General Hospital
Tags:
General Surgery
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Authors
Janey Sue Pratt, MD
Deborah D. Tsao, BS
Filmed At:
Massachusetts General Hospital
Article Information
Publication Date
N/A
Article ID
25
Production ID
0104
Volume
N/A
Issue
25
DOI
https://doi.org/10.24296/jomi/25