Laparoscopic Roux-En-Y Gastric Bypass

Abstract

This chapter describes the surgical procedure for laparoscopic Roux-en-Y gastric bypass. The text includes an introduction that outlines the indications, risks, alternatives, essential steps, needed equipment, and variations in technique for the procedure in question. This is followed by a template operative dictation, which provides the reader with an operative report, such as is found in a patient chart or electronic medical record. A description is provided of the following critical concepts for this procedure: position and trocars placement, creation of the biliopancreatic limb (jejunojejunostomy), creation of gastric pouch, and creation of gastric bypass (gastrojejunostomy).