This talk was presented at the 2018 SAGES Meeting/16th World Congress of Endoscopic Surgery by Teresa L LaMasters during the Devil’s in the Details: Gastro-Jejunal Anastomosis on April 13 2018
Keyword(s): abdominal wall, absorbable suture, air leak, anesthesiologist, anti adhesion barrier, anti colic anti gastric, antibiotic, antigastric, anvil, anvil grasper, assistant, Bacitracin, band, blue dye, bowel, candy cane, circular anastomotic gastrojejunostomy, circular anastomotic GJ, clot stabilizer, CO2 insufflation, conversion, cricopharyngeal muscle, Devils in the details, dilation, EEA stapler, end-to-end anastomosis, endoscopy, enterotomy, foreign body, foreign body reaction, full thickness, gastric bypass, gastric pouch, gastro-jejunal anastomosis, gastrointestinal tissue, gastrotomy, GI tissue, GJ anastomosis, hemostasis, hemostat, hemostatic agent, incision, infection, invagination, irrigation, ischemic, lactic acidosis, laparoscope, leak, leak test, maneuevers, marginal ulcers, mesenteric, methylene blue, mouth, nausea, nose, off label use, OG tube, orogastric tube, port, pursestring suture, retrocolic, retrogastric, revision, revisional surgery, Roux limb, spike, SSI, staple, staple line, stapler, staples, stenosis, stricture, stricture rates, surgical site infection, suture, takedown Nissen fundoplication, technique, tension, tranoral, transgastric, tubing, ultrasonic energy, wound infection, wound protector
Special considerations for circular stapled anastomosis–53 sec
Internal diameter difference–1:09
Creation of GJ anastomosis using circular stapled technique–1:29
Citation–2:03 J Gastrointest Surg 2014
Step 1-Placement of anvil (video clip)–2:25
Step 2-Placement of EEA stapler (video clip)–5:25
Step 3-Creation of anastomosis (video clip)–7:00
Step 4-Remove end of Roux limb (video clip)–8:47
Step 5-Remove end of bowel with wound protector (video clip)–9:34
Step 6-Re-enforce anastomosis area at risk for tension (video clip)–10:37
Step 7-Leak test (video clip)–12:13
Special considerations–13:48
Conclusion–15:07