Clip closure and division instead of stapling for the last small gastric bridge between gastric pouch and remnant stomach in laparoscopic Roux-en-Y gastric bypass

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dc.authoridSumer, Fatih/0000-0002-0557-1369
dc.authoridYuksel, Adem/0000-0002-7486-9484
dc.authoridyuksel, adem/0000-0002-7486-9484
dc.authorwosidKayaalp, Cuneyt/AAH-1764-2021
dc.authorwosidSumer, Fatih/F-8042-2017
dc.authorwosidYuksel, Adem/GXN-3128-2022
dc.authorwosidyuksel, adem/AAI-8139-2020
dc.contributor.authorYuksel, Adem
dc.contributor.authorSumer, Fatih
dc.contributor.authorKayaalp, Cuneyt
dc.date.accessioned2024-08-04T20:43:59Z
dc.date.available2024-08-04T20:43:59Z
dc.date.issued2017
dc.departmentİnönü Üniversitesien_US
dc.description.abstractIntroduction: Here, a modification during gastric pouch forming was implemented in laparoscopic Roux-en-Y gastric bypass (LRYGB). We aimed to examine the feasibility of metallic clip closure for the remaining small stomach bridges (< 1 cm) between the pouch and the remnant stomach. Methods: During pouch creation, after the last stapler firing, the remaining small bridge was closed with clips and divided instead of using a new stapler. Metallic clips for this aim were used in 41 of 520 LRYGP between September 2010 and January 2017. Preoperative mean body mass index (BMI) was 47.3 +/- 5.3 kg/m(2) (male/female: 6/35, mean age 37.8 +/- 9.1 years). Results: Gastric bridges in 41 patients were successfully closed with metallic clips and divided. In one patient, intraoperative methylene blue test was positive from the anastomosis (not from the clipped place) and repaired by intracorporeal sutures. Abdominal drain was used selectively (32%). No postoperative leakage or other complications were seen. Mean length of hospital stay was 3.8 +/- 1.1 days. Mean BMI was 30.3 +/- 6.1 kg/m(2) after mean 17.6 +/- 11.3 months follow-up. Conclusion: In LRYGB metallic clip closure for a stomach bridge (< 1 cm) between the pouch and the remnant stomach is an easy, safe and reliable method. (C) 2017 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.en_US
dc.identifier.doi10.1016/j.ijsu.2017.09.014
dc.identifier.endpage3en_US
dc.identifier.issn1743-9191
dc.identifier.issn1743-9159
dc.identifier.pmid28919093en_US
dc.identifier.scopus2-s2.0-85029469334en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1en_US
dc.identifier.urihttps://doi.org/10.1016/j.ijsu.2017.09.014
dc.identifier.urihttps://hdl.handle.net/11616/97967
dc.identifier.volume47en_US
dc.identifier.wosWOS:000414077500001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Bven_US
dc.relation.ispartofInternational Journal of Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectRoux-en-Y gastric bypassen_US
dc.subjectStaplingen_US
dc.subjectMetallic clipsen_US
dc.subjectMorbid obesityen_US
dc.subjectBariatric surgeryen_US
dc.subjectLaparoscopyen_US
dc.titleClip closure and division instead of stapling for the last small gastric bridge between gastric pouch and remnant stomach in laparoscopic Roux-en-Y gastric bypassen_US
dc.typeArticleen_US

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