A loop of jejunum has been selected and affixed to the greater curvature of the stomach, above the gastroepiploic vessels, with two stay sutures. Two enterotomies have been made and the stapling device inserted.
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).
The stomach is retracted cephalad as the transverse colon is retracted caudad while the omentum is divided with the harmonic scalpel.
The stomach is exposed and mobilized. A gastric balloon catheter may be used to define the pouch and facilitate pouch creation. (Soper NJ, Swanstrom LL, Eubanks WS, eds. Mastery of Endoscopic and Laparoscopic Surgery. 2d ed. Philadelphia: Lippincott Willi
Sling retraction of the stomach.