Comparison of two different circular-stapler techniques for creation of gastrojejunostomy anastomosis in bariatric Roux-en Y gastric bypass

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dc.contributor.authorEce, İlhan
dc.contributor.authorYılmaz, Hüseyin
dc.contributor.authorAlptekin, Hüsnü
dc.contributor.authorYormaz, Serdar
dc.contributor.authorÇolak, Bayram
dc.contributor.authorŞahin, Mustafa
dc.date.accessioned2020-03-26T19:01:33Z
dc.date.available2020-03-26T19:01:33Z
dc.date.issued2015
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractBackground: Circular-stapled anastomosis with trans-oral anvil insertion is one of the most commonly used methods for the creation of the gastrojejunostomy in laparoscopic Roux-en-Y gastric bypass (LRYGB). We present a retrospective analysis of laparoscopic gastric bypass by comparing 2 techniques of circular-stapled gastrojejunostomy; Orvil (TM) and hand-made Orvil. Methods: Patients who were subjected to LRYGB without any concomitant procedures were observed over a 13-months period at the "Obesity clinic of a University". A total of 94 patients with morbid obesity were subjected to LRYGB. Gastrojejunostomy with circular-stapler and Orvil (TM) (CS-O) was performed to 58 patients and 36 patients underwent through the surgery with circular-stapler and hand-made Orvil (CS-HMO). Demographics, clinic, intraoperative data, postoperative complications, and the length of hospital stay were evaluated. Results: Ninety-four patients with mean age of 37.2 years and average body mass index of 58.1 kg/m(2) underwent laparoscopic Roux-en-Y gastric bypass. Laparoscopic surgeries of all patients were successful and major intraoperative complications were not reported. Demographic data and complication rates were similar in both groups. The operative time in group CS-HMO was significantly higher (P=0.03) when compared to group CS-O. There was no anastomotic leak in both groups. Conclusion: The use of hand-made Orvil is a technically feasible and safe method for performing the gastrojejunostomy. This technique can be successfully used in case of difficulties for obtaining the Orvil (TM) or reducing the operational costs.en_US
dc.identifier.endpage11037en_US
dc.identifier.issn1940-5901en_US
dc.identifier.issue7en_US
dc.identifier.pmid26379901en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage11032en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12395/31960
dc.identifier.volume8en_US
dc.identifier.wosWOS:000361557500088en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherE-CENTURY PUBLISHING CORPen_US
dc.relation.ispartofINTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINEen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectOrvilen_US
dc.subjectgastrojejunostomyen_US
dc.subjectlaparoscopic gastric bypassen_US
dc.subjectmorbid obesityen_US
dc.titleComparison of two different circular-stapler techniques for creation of gastrojejunostomy anastomosis in bariatric Roux-en Y gastric bypassen_US
dc.typeArticleen_US

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