| The Roux-en-Y Gastric Bypass Operative Procedure for Morbid
Obesity
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Standard incisions for the Roux en Y gastric bypass procedure.
Open Incision
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Laparoscopic Trocar Positions
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Click HERE for a full length video with sound tract of the procedure
Click on each picture to run a short video.
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Step 1: Divide the intestine with a stapler device. |
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Step 2: Move down the small bowel from the division of Step 2 for about 3 feet and bring this part of the small bowel up to the proximal small bowel from the Ligament of Treitz. Prepare the bowel to be stapled together. |
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Step 3: Staple the two pieces of small bowel together.
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Step 4: Create the small gastric pouch using a stapler. Here the first staple line is placed across the stomach, about 2 inches from the junction of the esophagus with the stomach.
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Step 5: Continue dividing the stomach upwards to create a new stomach about the size of an egg. The staple line is continued in Step 7.
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Step 6: The final staple line is placed dividing the stomach. The bypassed stomach is not removed but left in place.
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Step 7: The end of the small bowel is drawn up to the new small stomach pouch and stapled.
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Step 8: Final appearance of the new stomach and its attachment to the small bowel.
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X-ray of normal stomach
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Cartoon of the final anatomy
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X-ray following surgery (barium swallow) showing the small gastric pouch.
Click on picture to see the x-ray in motion.
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