Joseph Greene, MD, MBA, Hamid Pourshojae, DO, Nain Rajev, Amir Moazzez, MD. Inova Fair Oaks Hospital
Through this case we describe the importance of jejunojejunostomy laterality relative to the Petersen's defect of the Roux alimentary limb during laparoscopic Roux-en-Y gastric bypass surgery. When the jejunojejunostomy is constructed on the right side with the biliopancreatic limb entering from the right side, the biliopancreatic limb is brought through the Petersen's defect, creating a permanent internal hernia and a nidus for herniation. When the jejunojejunostomy is constructed correctly on the left side with the biliopancreatic limb entering from the patient's left side, all defects can be closed satisfactorily.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 92065
Program Number: V296
Presentation Session: Video Loop Day 3
Presentation Type: VideoLoop