Laparoscopic Duodenojejunal Bypass with Sleeve Gastrectomy an Effective Alternative for Laparoscopic Roux En Y Gastric Bypass

C Palanivelu, MCH FACS FRCS, P Praveen Raj, MS, S Rajapandian, MS DNB, P Senthilnathan, MS DNB, P S Rajan, MS FACS. GEM Hospital

Background:Laparoscopic duodenojejunal bypass with sleeve gastrectomy is being increasingly proposed as an alternative to Roux en Y gastric bypass with the following stated advantages:-Removal of gastric remnant facilitates easy surveillance in high risk endemic regions.-Preservation of pyloric mechanism prevents dumping symptoms.-Reduced limb tension with Duodeno-jejunostomy.Procedure-1.Sleeve gastrectomy performed and D1 transected.2.Jejunum divided 50cm distal to DJ flexure and 75-100cm retrocolic alimentary limb fashioned depending on BMI, and hand sewn end to end duodeno-jejunostomy done.3.Intestinal continuity restored with stapled jejuno-jejunostomy.4.Mesenteric rents closed.

Session: VidTV1
Program Number: V055

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