{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T16:37:20Z","timestamp":1787503040701,"version":"build-2736575974"},"reference-count":38,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2015,10,11]],"date-time":"2015-10-11T00:00:00Z","timestamp":1444521600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["OBES SURG"],"published-print":{"date-parts":[[2016,1]]},"DOI":"10.1007\/s11695-015-1918-x","type":"journal-article","created":{"date-parts":[[2015,10,12]],"date-time":"2015-10-12T16:18:52Z","timestamp":1444666732000},"page":"182-195","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Antecolic or Retrocolic Alimentary Limb in Laparoscopic Roux-en-Y Gastric Bypass? A Meta-Analysis"],"prefix":"10.1007","volume":"26","author":[{"given":"Fabio","family":"Rondelli","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Walter","family":"Bugiantella","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matteo","family":"Desio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Cristina","family":"Vedovati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcello","family":"Boni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Avenia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adriano","family":"Guerra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2015,10,11]]},"reference":[{"issue":"3","key":"1918_CR1","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1381\/096089200321643511","volume":"10","author":"AC Wittgrove","year":"2000","unstructured":"Wittgrove AC, Clark GW. Laparoscopic gastric bypass, Roux-en-Y- 500 patients: technique and results, with 3\u201360 month follow-up. Obes Surg. 2000;10(3):233\u20139.","journal-title":"Obes Surg"},{"issue":"4","key":"1918_CR2","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1097\/00000658-200010000-00007","volume":"232","author":"PR Schauer","year":"2000","unstructured":"Schauer PR, Ikramuddin S, Gourash W, Ramanathan R, Luketich J. Outcomes after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Ann Surg. 2000;232(4):515\u201329.","journal-title":"Ann Surg"},{"issue":"4","key":"1918_CR3","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1097\/01.sla.0000120071.75691.1f","volume":"239","author":"JA Luj\u00e1n","year":"2004","unstructured":"Luj\u00e1n JA, Frutos MD, Hern\u00e1ndez Q, Liron R, Cuenca JR, Valero G, et al. Laparoscopic versus open gastric bypass in the treatment of morbid obesity: a randomized prospective study. Ann Surg. 2004;239(4):433\u20137.","journal-title":"Ann Surg"},{"issue":"3","key":"1918_CR4","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1097\/00000658-200109000-00002","volume":"234","author":"NT Nguyen","year":"2001","unstructured":"Nguyen NT, Goldman C, Rosenquist CJ, Arango A, Cole CJ, Lee SJ, et al. Laparoscopic versus open gastric bypass: a randomized study of outcomes, quality of life, and costs. Ann Surg. 2001;234(3):279\u201389. discussion 289\u201391.","journal-title":"Ann Surg"},{"issue":"4","key":"1918_CR5","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1007\/s00464-004-8907-9","volume":"19","author":"RT Marema","year":"2005","unstructured":"Marema RT, Perez M, Buffington CK. Comparison of the benefits and complications between laparoscopic and open Roux-en-Y gastric bypass surgeries. Surg Endosc. 2005;19(4):525\u201330.","journal-title":"Surg Endosc"},{"issue":"9","key":"1918_CR6","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1001\/archsurg.138.9.957","volume":"138","author":"YD Podnos","year":"2003","unstructured":"Podnos YD, Jimenez JC, Wilson SE, Stevens CM, Nguyen NT. Complications after laparoscopic gastric bypass: a review of 3464 cases. Arch Surg. 2003;138(9):957\u201361. Review.","journal-title":"Arch Surg"},{"issue":"2","key":"1918_CR7","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1381\/096089204322857546","volume":"14","author":"NT Nguyen","year":"2004","unstructured":"Nguyen NT, Huerta S, Gelfand D, Stevens CM, Jim J. Bowel obstruction after laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2004;14(2):190\u20136.","journal-title":"Obes Surg"},{"issue":"10","key":"1918_CR8","doi-asserted-by":"crossref","first-page":"988","DOI":"10.1001\/archsurg.142.10.988","volume":"142","author":"S Husain","year":"2007","unstructured":"Husain S, Ahmed AR, Johnson J, Boss T, O\u2019Malley W. Small-bowel obstruction after laparoscopic Roux-en-Y gastric bypass: etiology, diagnosis, and management. Arch Surg. 2007;142(10):988\u201393.","journal-title":"Arch Surg"},{"issue":"3","key":"1918_CR9","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1016\/j.jamcollsurg.2007.10.008","volume":"206","author":"JS Koppman","year":"2008","unstructured":"Koppman JS, Li C, Gandsas A. Small bowel obstruction after laparoscopic Roux-en-Y gastric bypass: a review of 9,527 patients. J Am Coll Surg. 2008;206(3):571\u201384.","journal-title":"J Am Coll Surg"},{"issue":"1","key":"1918_CR10","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1007\/s004649900887","volume":"13","author":"CL Garrard","year":"1999","unstructured":"Garrard CL, Clements RH, Nanney L, Davidson JM, Richards WO. Adhesion formation is reduced after laparoscopic surgery. Surg Endosc. 1999;13(1):10\u20133.","journal-title":"Surg Endosc"},{"issue":"3","key":"1918_CR11","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1381\/096089203765887642","volume":"13","author":"KD Higa","year":"2003","unstructured":"Higa KD, Ho T, Boone KB. Internal hernias after laparoscopic Roux-en-Y gastric bypass: incidence, treatment and prevention. Obes Surg. 2003;13(3):350\u20134.","journal-title":"Obes Surg"},{"issue":"6","key":"1918_CR12","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1381\/096089299765552648","volume":"9","author":"C Serra","year":"1999","unstructured":"Serra C, Baltasar A, Bou R, Mir\u00f3 J, Cipagauta LA. Internal hernias and gastric perforation after a laparoscopic gastric bypass. Obes Surg. 1999;9(6):546\u20139.","journal-title":"Obes Surg"},{"issue":"12","key":"1918_CR13","doi-asserted-by":"crossref","first-page":"1563","DOI":"10.1007\/s11695-007-9260-6","volume":"17","author":"AR Ahmed","year":"2007","unstructured":"Ahmed AR, Rickards G, Husain S, Johnson J, Boss T, O\u2019Malley W. Trends in internal hernia incidence after laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2007;17(12):1563\u20136.","journal-title":"Obes Surg"},{"issue":"9","key":"1918_CR14","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1177\/000313480507100908","volume":"71","author":"W Bertucci","year":"2005","unstructured":"Bertucci W, Yadegar J, Takahashi A, Alzahrani A, Frickel D, Tobin K, et al. Antecolic laparoscopic Roux-en-Y gastric bypass is not associated with higher complication rates. Am Surg. 2005;71(9):735\u20137.","journal-title":"Am Surg"},{"issue":"6","key":"1918_CR15","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1016\/j.soard.2005.08.005","volume":"1","author":"B Carmody","year":"2005","unstructured":"Carmody B, DeMaria EJ, Jamal M, Johnson J, Carbonell A, Kellum J, et al. Internal hernia after laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2005;1(6):543\u20138.","journal-title":"Surg Obes Relat Dis"},{"issue":"4","key":"1918_CR16","doi-asserted-by":"crossref","first-page":"596","DOI":"10.1381\/096089203322190808","volume":"13","author":"JK Champion","year":"2003","unstructured":"Champion JK, Williams M. Small bowel obstruction and internal hernias after laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2003;13(4):596\u2013600.","journal-title":"Obes Surg"},{"issue":"1","key":"1918_CR17","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1007\/s00464-003-8515-0","volume":"19","author":"E Comeau","year":"2005","unstructured":"Comeau E, Gagner M, Inabnet WB, Herron DM, Quinn TM, Pomp A. Symptomatic internal hernias after laparoscopic bariatric surgery. Surg Endosc. 2005;19(1):34\u20139.","journal-title":"Surg Endosc"},{"issue":"3","key":"1918_CR18","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1007\/s11695-007-9048-8","volume":"17","author":"MA Edwards","year":"2007","unstructured":"Edwards MA, Jones DB, Ellsmere J, Grinbaum R, Schneider BE. Anastomotic leak following antecolic versus retrocolic laparoscopic Roux-en-Y gastric bypass for morbid obesity. Obes Surg. 2007;17(3):292\u20137.","journal-title":"Obes Surg"},{"issue":"4","key":"1918_CR19","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1016\/j.soard.2007.04.005","volume":"3","author":"A Escalona","year":"2007","unstructured":"Escalona A, Devaud N, P\u00e9rez G, Crovari F, Boza C, Viviani P, et al. Antecolic versus retrocolic alimentary limb in laparoscopic Roux-en-Y gastric bypass: a comparative study. Surg Obes Relat Dis. 2007;3(4):423\u20137.","journal-title":"Surg Obes Relat Dis"},{"issue":"11","key":"1918_CR20","doi-asserted-by":"crossref","first-page":"1631","DOI":"10.1007\/s00464-004-8804-2","volume":"18","author":"RF Hwang","year":"2004","unstructured":"Hwang RF, Swartz DE, Felix EL. Causes of small bowel obstruction after laparoscopic gastric bypass. Surg Endosc. 2004;18(11):1631\u20135.","journal-title":"Surg Endosc"},{"issue":"7","key":"1918_CR21","doi-asserted-by":"crossref","first-page":"889","DOI":"10.1007\/s11695-007-9165-4","volume":"17","author":"MK M\u00fcller","year":"2007","unstructured":"M\u00fcller MK, Guber J, Wildi S, Guber I, Clavien PA, Weber M. Three-year follow-up study of retrocolic versus antecolic laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2007;17(7):889\u201393.","journal-title":"Obes Surg"},{"issue":"2","key":"1918_CR22","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1007\/s11605-013-2377-0","volume":"18","author":"A Obeid","year":"2014","unstructured":"Obeid A, McNeal S, Breland M, Stahl R, Clements RH, Grams J. Internal hernia after laparoscopic Roux-en-Y gastric bypass. J Gastrointest Surg. 2014;18(2):250\u20135. doi: 10.1007\/s11605-013-2377-0 . discussion 255\u20136.","journal-title":"J Gastrointest Surg"},{"issue":"4","key":"1918_CR23","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1007\/s00464-002-8826-6","volume":"17","author":"PK Papasavas","year":"2003","unstructured":"Papasavas PK, Caushaj PF, McCormick JT, Quinlin RF, Hayetian FD, Maurer J, et al. Laparoscopic management of complications following laparoscopic Roux-en-Y gastric bypass for morbid obesity. Surg Endosc. 2003;17(4):610\u20134.","journal-title":"Surg Endosc"},{"issue":"11","key":"1918_CR24","doi-asserted-by":"crossref","first-page":"1914","DOI":"10.1007\/s00464-007-9535-y","volume":"21","author":"T Rogula","year":"2007","unstructured":"Rogula T, Yenumula PR, Schauer PR. A complication of Roux-en-Y gastric bypass: intestinal obstruction. Surg Endosc. 2007;21(11):1914\u20138. Review.","journal-title":"Surg Endosc"},{"issue":"9","key":"1918_CR25","doi-asserted-by":"crossref","first-page":"2056","DOI":"10.1007\/s00464-008-9749-7","volume":"22","author":"KE Steele","year":"2008","unstructured":"Steele KE, Prokopowicz GP, Magnuson T, Lidor A, Schweitzer M. Laparoscopic antecolic Roux-en-Y gastric bypass with closure of internal defects leads to fewer internal hernias than the retrocolic approach. Surg Endosc. 2008;22(9):2056\u201361. doi: 10.1007\/s00464-008-9749-7 . Review.","journal-title":"Surg Endosc"},{"issue":"10","key":"1918_CR26","doi-asserted-by":"crossref","first-page":"1397","DOI":"10.1016\/j.gassur.2006.09.007","volume":"10","author":"JD Taylor","year":"2006","unstructured":"Taylor JD, Leitman IM, Rosser JB, Davis B, Goodman E. Does the position of the alimentary limb in Roux-en-Y gastric bypass surgery make a difference? J Gastrointest Surg. 2006;10(10):1397\u20139.","journal-title":"J Gastrointest Surg"},{"issue":"7","key":"1918_CR27","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1000100","volume":"6","author":"A Liberati","year":"2009","unstructured":"Liberati A, Altman DG, Tetzlaff J, Mulrow C, G\u00f8tzsche PC, Ioannidis JP, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med. 2009;6(7), e1000100.","journal-title":"PLoS Med"},{"issue":"9","key":"1918_CR28","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1007\/s10654-010-9491-z","volume":"25","author":"A Stang","year":"2010","unstructured":"Stang A. Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol. 2010;25(9):603\u20135.","journal-title":"Eur J Epidemiol"},{"issue":"11","key":"1918_CR29","doi-asserted-by":"crossref","first-page":"1539","DOI":"10.1002\/sim.1186","volume":"21","author":"JP Higgins","year":"2002","unstructured":"Higgins JP, Thompson SG. Quantifying heterogeneity in a meta-analysis. Stat Med. 2002;21(11):1539\u201358.","journal-title":"Stat Med"},{"issue":"7304","key":"1918_CR30","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1136\/bmj.323.7304.101","volume":"323","author":"JA Sterne","year":"2001","unstructured":"Sterne JA, Egger M, Smith GD. Systematic reviews in health care: investigating and dealing with publication and other biases in meta-analysis. BMJ. 2001;323(7304):101\u20135. Review.","journal-title":"BMJ"},{"issue":"9","key":"1918_CR31","first-page":"1165","volume":"87","author":"AJ Sanyal","year":"1992","unstructured":"Sanyal AJ, Sugerman HJ, Kellum JM, Engle KM, Wolfe L. Stomal complications of gastric bypass: incidence and outcome of therapy. Am J Gastroenterol. 1992;87(9):1165\u20139.","journal-title":"Am J Gastroenterol"},{"issue":"12","key":"1918_CR32","doi-asserted-by":"crossref","first-page":"1822","DOI":"10.1007\/s11695-011-0462-6","volume":"21","author":"M Abasbassi","year":"2011","unstructured":"Abasbassi M, Pottel H, Deylgat B, Vansteenkiste F, Van Rooy F, Devriendt D, et al. Small bowel obstruction after antecolic antegastric laparoscopic Roux-en-Y gastric bypass without division of small bowel mesentery: a single-centre, 7-year review. Obes Surg. 2011;21(12):1822\u20137.","journal-title":"Obes Surg"},{"issue":"2","key":"1918_CR33","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1016\/j.soard.2010.10.003","volume":"7","author":"N Cruz-Mu\u00f1oz de la","year":"2011","unstructured":"de la Cruz-Mu\u00f1oz N, Cabrera JC, Cuesta M, Hartnett S, Rojas R. Closure of mesenteric defect can lead to decrease in internal hernias after Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2011;7(2):176\u201380.","journal-title":"Surg Obes Relat Dis"},{"issue":"10","key":"1918_CR34","doi-asserted-by":"crossref","first-page":"1265","DOI":"10.1381\/096089206778663689","volume":"16","author":"A Iannelli","year":"2006","unstructured":"Iannelli A, Facchiano E, Gugenheim J. Internal hernia after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Obes Surg. 2006;16(10):1265\u201371. Review.","journal-title":"Obes Surg"},{"issue":"2","key":"1918_CR35","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1016\/j.soard.2009.12.005","volume":"6","author":"LA Miyashiro","year":"2010","unstructured":"Miyashiro LA, Fuller WD, Ali MR. Favorable internal hernia rate achieved using retrocolic, retrogastric alimentary limb in laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2010;6(2):158\u201362.","journal-title":"Surg Obes Relat Dis"},{"issue":"8","key":"1918_CR36","doi-asserted-by":"crossref","first-page":"1273","DOI":"10.1007\/s11695-013-0902-6","volume":"23","author":"J Ortega","year":"2013","unstructured":"Ortega J, Cassinello N, S\u00e1nchez-Ant\u00fanez D, Sebasti\u00e1n C, Mart\u00ednez-Soriano F. Anatomical basis for the low incidence of internal hernia after a laparoscopic Roux-en-Y gastric bypass without mesenteric closure. Obes Surg. 2013;23(8):1273\u201380.","journal-title":"Obes Surg"},{"issue":"2","key":"1918_CR37","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.soard.2005.11.004","volume":"2","author":"M Cho","year":"2006","unstructured":"Cho M, Pinto D, Carrodeguas L, Lascano C, Soto F, Whipple O, et al. Frequency and management of internal hernias after laparoscopic antecolic antegastric Roux-en-Y gastric bypass without division of the small bowel mesentery or closure of mesenteric defects: review of 1400 consecutive cases. Surg Obes Relat Dis. 2006;2(2):87\u201391.","journal-title":"Surg Obes Relat Dis"},{"issue":"2","key":"1918_CR38","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1007\/s11695-007-9038-x","volume":"17","author":"CW Finnell","year":"2007","unstructured":"Finnell CW, Madan AK, Tichansky DS, Ternovits C, Taddeucci R. Non-closure of defects during laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2007;17(2):145\u20138.","journal-title":"Obes Surg"}],"container-title":["Obesity Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s11695-015-1918-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s11695-015-1918-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s11695-015-1918-x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,9,9]],"date-time":"2020-09-09T10:22:48Z","timestamp":1599646968000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s11695-015-1918-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,10,11]]},"references-count":38,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2016,1]]}},"alternative-id":["1918"],"URL":"https:\/\/doi.org\/10.1007\/s11695-015-1918-x","relation":{},"ISSN":["0960-8923","1708-0428"],"issn-type":[{"value":"0960-8923","type":"print"},{"value":"1708-0428","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,10,11]]}}}