A pediatric colonoscope facilitates intubation of the jejunal limbs, particularly the afferent limb, after gastrojejunostomy.
Trocar placement for gastrojejunostomy is slightly different, in that trocar 2 is placed lower, to allow adequate working distance from the stomach. If you plan to do both procedures, use this trocar arrangement (rather than that in Fig. 36.1).
Trocar placement for cholecystojejunostomy. If you plan to do a gastrojejunostomy as well, modify the trocar placement as shown later (Fig. 36.4). In each case, trocar placement must be individualized. A standard umbilical or subumbilical location for tro
The gastrojejunostomy is created by connecting the anvil and shaft of the circular stapler and firing it. (Soper NJ, Swanstrom LL, Eubanks WS, eds. Mastery of Endoscopic and Laparoscopic Surgery. 2d ed. Philadelphia: Lippincott Williams & Wilkins,