Laparoscopic Totally Stapled Entero-Enterostomy: A Safe and Reproducible New Technique

Background Laparoscopic gastric bypass for morbid obesity is a technically demanding procedure, partially because of the necessity to construct two anastomoses. In this study, a new technique to perform the entero-enterostomy is presented. Methods We evaluated the procedure in a consecutive series of 100 patients who underwent laparoscopic gastric bypass. Intra- and postoperative complications were analyzed. Results No complications in relation to the construction of the entero-enterostomy occurred. No leakage, kinking, or stenosis were observed during a mean follow-up of 13.5 months (range 6–20 months). Conclusion This new technique for a totally stapled entero-enterostomy can be recommended. Presented at the 5th International Obesity Surgery Expert Meeting, Saalfelden, Austria, March 11, 2007.