Evidence map›Paper›PMID 42180668›Full record

Observational studyJSLS : Journal of the Society of Laparoendoscopic Surgeons

Totally Extramucosal Hand-Sewn Robotic Gastrojejunostomy for Roux-en-Y Gastric Bypass.

Miljana Vladimirov, Firas Makdesi, Ayman Georgios, Zsolt Madarasz, Jens Hoeppner, Alejandro Gandsas

Abstract readObservational StudyVideo-Audio Media
PubMed Full text at PMC Publisher
In one paragraph

Observational study in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Miljana VladimirovDepartment of Surgery, Medical School and University, Medical Center OWL-Campus Lippe, Bielefeld University, Detmold, Germany. (Drs. Vladimirov, Makdesi, Georgios, Madarasz, and Hoeppner).
Firas MakdesiDepartment of Surgery, Medical School and University, Medical Center OWL-Campus Lippe, Bielefeld University, Detmold, Germany. (Drs. Vladimirov, Makdesi, Georgios, Madarasz, and Hoeppner).
Ayman GeorgiosDepartment of Surgery, Medical School and University, Medical Center OWL-Campus Lippe, Bielefeld University, Detmold, Germany. (Drs. Vladimirov, Makdesi, Georgios, Madarasz, and Hoeppner).
Zsolt MadaraszDepartment of Surgery, Medical School and University, Medical Center OWL-Campus Lippe, Bielefeld University, Detmold, Germany. (Drs. Vladimirov, Makdesi, Georgios, Madarasz, and Hoeppner).
Jens HoeppnerDepartment of Surgery, Medical School and University, Medical Center OWL-Campus Lippe, Bielefeld University, Detmold, Germany. (Drs. Vladimirov, Makdesi, Georgios, Madarasz, and Hoeppner).
Alejandro GandsasDepartment of Surgery, Luminis Health, Annapolis, Maryland, USA. (Dr. Gandsas).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Roux-en-Y gastric bypass is an established metabolic-bariatric procedure performed using minimally invasive approaches, including laparoscopy and robotic assistance. Robotic platforms provide technical advantages that facilitate hand-sewn gastrojejunostomy, allowing surgeons to implement a consistent and reproducible technique. Methods: The surgical technique of a single-layer, continuous, extramucosal hand-sewn gastrojejunostomy performed during fully robotic Roux-en-Y gastric bypass is described. Consecutive primary and revisional procedures were performed by a single bariatric surgeon using the da Vinci X, Xi, or 5 robotic platforms. Perioperative outcomes were analyzed. An accompanying video is accessible to demonstrate our operative technique. Results: Between April 1, 2024, and January 31, 2026, 73 consecutive Roux-en-Y gastric bypass procedures were performed by a single surgeon, including 34 primary and 39 revisional cases. Using the described suturing technique, no anastomotic leaks or gastrojejunostomy-related bleeding were observed. One anastomotic stricture occurred within the 30-day postoperative period and was successfully managed with endoscopic dilation. Summary: The described single-layer, continuous, extramucosal robotic hand-sewn gastrojejunostomy in Roux-en-Y gastric bypass was feasible and safe in a consecutive series of primary and revisional procedures.

Indexed as

Gastric BypassObesity, MorbidRobotic Surgical ProceduresSuture TechniquesAdultFeasibility StudiesFemaleHumansMaleMiddle AgedPostoperative ComplicationsTreatment OutcomeExtramucosal anastomosisHand-sewn gastrojejunostomyMetabolic bariatric surgeryRobotic surgeryRoux-en-Y gastric bypass

Identifiers

PMID42180668
PMCPMC13196838

What OpenQuestion holds

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Registered trials

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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.