Non Purse-String Circular ILS Gastro-jejunostomy for Roux-en-Y Gastric Bypass: A Simplified Approach

A simplified technique to create the gastro-jejunostomy in an open Roux-en-Y gastric bypass is described. The technique of crossing over circular staple-lines with linear hand-sewn suture-lines instead of the traditional purse-string technique, is depicted. The non purse-string technique has been used in 1,928 cases of mini-open Roux-en-Y gastric bypass with only 2 leaks, an incidence of 0.1%. Weight loss and resolution of co-morbidities have been similar to reports by other investigators.