{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T05:04:54Z","timestamp":1748927094041},"reference-count":14,"publisher":"FapUNIFESP (SciELO)","issue":"suppl 1","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"abstract":"<jats:p>ABSTRACT  Background: Gastric bypass is a restrictive and malabsorptive surgery. The restrictive part consists in the creation of a small gastric pouch. The gastrointestinal bypass serves as the malabsorptive element.  Aim: To describe a simplified gastric bypass approach for morbid obese patients, showing our results, and also remarking the importance of this technique for reducing the learning curve.  Method: The patient is positioned in a split legs position and carefully strapped to the operating room table, with the surgeon between the patient's legs. Five trocars are inserted after pneumoperitoneum at the umbilicus. Dissection of the esophagogastric angle and lesser curvature is mandatory before the gastric pouch manufacturing. This pouch is done with two blue load staplers. Using a blue load linear stapler inserted only half way into the hole in the pouch is used to perform the gastrojejunal anastomosis and in order to create an anastomosis that is about 2 cm in length. A side-to-side jejunojejunostomy is done with a white load linear stapler. The last step of the gastric bypass consists in the cut of the jejunum between the two anastomosis with a white load linear stapler. Blue test is performed in order to detect leaks.  Results: From January 2012 to December 2015, 415 simplified RYGB were performed. Gender: 67% female and 33 % males. Average of BMI 44.7. Mean age was 42 years old. Mean operative time 79 min. 39 % of this sample had T2 diabetes. Regarding complications were observed, one fistula, one gastrojejunal stenosis and one obstruction due to a bezoar.  Conclusion: The described technique is a simplified approach in which all the anastomosis are performed in the upper part of the abdomen, allowing the surgeons to be more systematized and avoiding them to make mistakes in the confection of the Roux-en-Y anastomosis. This simplified gastric bypass is a safe and reproducible technique.<\/jats:p>","DOI":"10.1590\/0102-6720201600s10022","type":"journal-article","created":{"date-parts":[[2016,9,21]],"date-time":"2016-09-21T21:39:27Z","timestamp":1474493967000},"page":"91-94","source":"Crossref","is-referenced-by-count":3,"title":["SIMPLIFIED LAPAROSCOPIC GASTRIC BYPASS WITH GASTROJEJUNAL LINEAR MECHANICAL ANASTOMOSIS: TECHNICAL ASPECTS"],"prefix":"10.1590","volume":"29","author":[{"given":"Mariano","family":"PALERMO","sequence":"first","affiliation":[{"name":"University of Buenos Aires,  Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edgardo","family":"SERRA","sequence":"additional","affiliation":[{"name":"University of Buenos Aires,  Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2016]]},"reference":[{"key":"ref1","first-page":"284","article-title":"Gastric Bypass versus Sleeve gastrectomy: comparison between type 2 Diabetes weight loss and complications. Review of randomized control trails","volume":"45","author":"Acquafresca P","year":"2015","journal-title":"Acta Gastroenterol Latinoam"},{"issue":"1","key":"ref2","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1590\/s0102-67202015000100019","article-title":"Early Complications After Gastric By-Pass: a literature review","volume":"28","author":"Acquafresca PA","year":"2015","journal-title":"Arq Bras Cir Dig"},{"key":"ref3","article-title":"Comparative studies an metabolic effects of sleeve gastrectomy","author":"Torquati Alfonso","journal-title":"Duke Surgery"},{"key":"ref4","series-title":"ABCD Arq Bras Cir Dig","first-page":"2","volume":"27","author":"Ramos Almino Cardoso","year":"2014"},{"key":"ref5","article-title":"Weight and type 2 diabetes after bariatric surgery: systematic review and meta-analysis","author":"Henry Buchwald","year":"2008","journal-title":"The American Journal of Medicine"},{"issue":"7","key":"ref6","first-page":"668","article-title":"Laparoscopic stomach bypass surgery","volume":"76","author":"Cadi\u00e8re GB","year":"2005","journal-title":"Chirurg"},{"issue":"10","key":"ref7","doi-asserted-by":"crossref","first-page":"1000","DOI":"10.1001\/archsurg.142.10.1000","article-title":"Gastric bypass: why Roux-en-Y? A review of experimental data","volume":"142","author":"Collins BJ","year":"2007","journal-title":"Arch Surg"},{"issue":"9","key":"ref8","doi-asserted-by":"crossref","first-page":"1458","DOI":"10.1007\/s11695-011-0390-5","article-title":"A review of studies comparing three laparoscopic procedures in bariatric surgery: sleeve gastrectomy, Roux-en-Y gastric bypass and adjustable gastric banding","volume":"21","author":"Franco JV","year":"2011","journal-title":"Obes Surg"},{"issue":"3","key":"ref9","first-page":"171","article-title":"The gastrojejunostomy in laparoscopic Roux-en-Y gastric bypass","volume":"11","author":"Himpens JM","year":"2004","journal-title":"Semin Laparosc Surg"},{"key":"ref10","first-page":"119","article-title":"New developments in gastric bypass procedures and physiological mechanisms","volume":"11","author":"Jacob BP","year":"2003","journal-title":"Surg Technol Int"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1007\/s11695-014-1214-1","article-title":"Bariatric surgery in class I obesity: a position statement from the International Federation for de Surgery of Obesity and Metabolic Disorders","volume":"24","author":"Bussetto Luca","year":"2014","journal-title":"Obesity Surgery"},{"issue":"2","key":"ref12","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1016\/j.soard.2007.08.006","article-title":"Techniques of laparoscopic gastric bypass: on-line survey of American Society for Bariatric Surgery practicing surgeons","volume":"4","author":"Madan AK","year":"2008","journal-title":"Surg Obes Relat Dis"},{"key":"ref13","series-title":"Single Port Laparoscopic Surgery","author":"Palermo M","year":"2015"},{"key":"ref14","series-title":"Laparoscopic gastrointestinal surgery. Novel techniques, extending the limits","author":"Palermo M","year":"2015"}],"container-title":["ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S\u00e3o Paulo)"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/abcd\/v29s1\/0102-6720-abcd-29-s1-00091.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,1,24]],"date-time":"2020-01-24T19:14:44Z","timestamp":1579893284000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-67202016000600091&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016]]},"references-count":14,"journal-issue":{"issue":"suppl 1","published-online":{"date-parts":[[2016]]}},"alternative-id":["S0102-67202016000600091"],"URL":"https:\/\/doi.org\/10.1590\/0102-6720201600s10022","relation":{},"ISSN":["2317-6326","0102-6720"],"issn-type":[{"value":"2317-6326","type":"electronic"},{"value":"0102-6720","type":"print"}],"subject":[],"published":{"date-parts":[[2016]]}}}