Alternative Method of Mesenteric Defect Closure after Roux-en-Y Gastric Bypass.
BACKGROUND
Roux-en-Y gastric bypass is the gold standard for weight loss surgery. This procedure creates two to three mesenteric defects, depending on ante-colic versus retro-colic technique. Current literature supports mesenteric defect closure, but there is no consensus on how to best close these defects. Described options include running separate suture lines for each defect, or employing endoscopic staplers for defect closure.


METHODS
This is a video/dynamic manuscript on operative technique.


RESULTS
We describe an alternative technique that does not require an extra laparoscopic instrument and is more efficient than traditional suture lines due to less suturing.


CONCLUSIONS
The technique maintains low gastric bypass complication rates by closing mesenteric defects, while keeping intra-operative costs low, and minimizing time spent on the defect closures.
['Wang|Eugene|E|0000-0003-3948-9723', 'Shope|Timothy|T|']
D015390:Gastric Bypass D006801:Humans D008643:Mesentery D058106:Wound Closure Techniques
Mesenteric defect Closure Gastric bypass Technique Internal hernia One suture