Gastric Bypass

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Surgeon(s)/Speaker(s): Dr. Mohit Bhandari

Surgical Procedure: Bariatric-RYGBP (Roux-en-Y Gastric Bypass)

Location: Mohak Bariatrics & Robotics Hospital Indore

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Indexsteps

1. Division of Omentum : Division of Omentum

2. Measuring of Jejunum : Measuring of Jejunum 75 cm from DJ, division with marking of alimentary limb with clip.

3. Measuring alimentary limb : Measuring alimentary limb to 100cm and fashioning a triple stapled jejuno jejunostomy.

4. Closure of Jejunal mesentary : Closure of Jejunal mesentary.

5. Creating 20-25cc gastric pouch : Creating 20-25cc gastric pouch.

6. Introducing orvil orally : Introducing orvil orally.

7. Enterotomy at end of alimentary limb : Enterotomy at end of alimentary limb.

8. Widening right side port to introduce orvil stapler : Widening right side port to introduce orvil stapler.

9. Circular Gastrojejunostomy completed by coupling stapler gun with anvil : Circular Gastrojejunostomy completed by coupling stapler gun with anvil.

10. Closure of jejunal enterotomy : Closure of jejunal enterotomy.

11. Tension releasing sutures : Tension releasing sutures at 3 and 9 o' clock GJ.

12. Methylene blue dye test : Methylene blue dye test.

13. Closure of Peterson defect : Closure of Peterson defect.

14. Drain : Drain

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port positions

1. Port Position RYGB : Port Position RYGB.