ArticleSurgical endoscopy2015
Outcomes of linear-stapled versus hand-sewn gastrojejunal anastomosis in laparoscopic Roux en-Y gastric bypass.
Article in Surgical endoscopy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.
- Comparison of gastrojejunostomy techniques and anastomotic complications: a systematic literature review.Surgical endoscopy · 2021Pooled it
- Benefits of barbed suture utilisation in gastrointestinal anastomosis: a systematic review and meta-analysis.Annals of the Royal College of Surgeons of England · 2020Pooled it
- Hand-Sewn Gastrojejunal Anastomosis in Laparoscopic Roux-en-Y Gastric Bypass: A Comparison of Absorbable Monofilament Versus Non-Absorbable Multifilament Sutures and Their Impact on the Symptomatic Anastomotic Stricture Rate.Journal of personalized medicine · 2026Article
- Risk of gastrojejunal anastomotic stricture following hand-sewn robotic Roux-en-Y gastric bypass: a retrospective cohort study.Journal of robotic surgery · 2025Observational
- Completely Mechanical Gastrojejunal Anastomosis: A Novel Way to Perform Laparoscopic Gastric Bypass.Obesity surgery · 2025Article
- Robotic-assisted Roux-en-Y gastric bypass with the novel platform HugoUpdates in surgery · 2024Article
- Feasibility of Roux-en-Y Gastric Bypass with the novel robotic platform HUGO™ RAS.Frontiers in surgery · 2023Article
- Weight loss one year after laparoscopic roux-en-Y gastric bypass is not dependent on the type of gastrojejunal anastomosis.Surgical endoscopy · 2022Article
- Three-dimensional laparoscopic Roux-en-Y gastric bypass with totally hand-sewn anastomoses for morbid obesity. A single center experience.Acta cirurgica brasileira · 2020Article
- ROUTINE USE OF V-LOCK® SUTURE FOR BARIATRIC ANASTOMOSIS IS SAFE: COMPARATIVE RESULTS FROM CONSECUTIVE CASE SERIES.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2019Article
- Stapleless Laparoscopic Sleeve Gastrectomy: Reasoning and Technical Insights.Obesity surgery · 2018Article
- Endoscopic Evaluation/Management of Bariatric Surgery Complications.Current treatment options in gastroenterology · 2017Review
- Complications of Bariatric Surgery: What You Can Expect to See in Your GI Practice.The American journal of gastroenterology · 2017Review
- Predictors of Inadequate Weight Loss After Laparoscopic Gastric Bypass for Morbid Obesity.Obesity surgery · 2017Article
- Mid-Term Remission of Type 2 Diabetes Mellitus After Laparoscopic Roux En-Y Gastric Bypass.World journal of surgery · 2016Article
- Laparoscopic Roux en-Y Gastric Bypass Using a Modified Retrocolic-Supracolic Approach: Outcomes from 300 Patients.World journal of surgery · 2016Article
- Does powered stapler improve the mechanical integrity of gastrojejunal anastomosis compared to the current techniques? Experimental study inJournal of minimal access surgeryArticle
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn laparoscopic Roux en-Y gastric bypass (LRYGB), the gastrojejunal anastomosis (GJA) may be performed using linear-stapled (LS) or completely hand-sewn (HS) techniques. No published study has compared operative and clinical outcomes following LS and HS LRYGB when performed by surgeons beyond the learning curve. This study examined outcomes of both techniques performed by two 'technique-specific' bariatric fellowship-trained surgeons.
methodsData on consecutive primary LRYGB undertaken in two university hospitals were prospectively collected over 28-months and included demographics, co-morbidities, postoperative morbidity, mortality, length of stay (LOS), reoperations, and excess weight loss (EWL). Data were presented as mean ± SD.
resultsThere were 366 LRYGB studied (LS = 144 and HS = 222 patients) with 96 % 12-month follow-up. All procedures were completed laparoscopically with no anastomotic leak or mortality. The LS cohort had a lower body mass index (48.3 ± 5.0 vs 53.8 ± 7.1, P < 0.001), greater incidence of diabetes mellitus (P = 0.009) and sleep apnea (P = 0.007). The HS cohort had more patients in Obesity Surgery Mortality Risk Score classes B and C (P = 0.004 and P = 0.01), and shorter operating time (127 ± 30 vs 172 ± 30 min, P < 0.001). There were no differences in LOS, complications, or reoperations. The HS technique was associated with more GJA stenoses requiring endoscopic dilatation (7.7 vs 0 %, P < 0.001). At 12 months, EWL (%) was comparable between the two techniques (LS 71.0 ± 15.5 vs HS 66.5 ± 13.7, P = 0.09).
conclusionsWhen performed by 'technique-specific' surgeons, both LS and HS GJA in LRYGB may be performed safely with no significant differences in morbidity, reoperations, or EWL.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.