2008 Annual Meeting Abstracts
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Notes-Assisted Roux-en-Y Gastric Bypass
Monika E. Hagen*1, Francois Pugin1, Oliver J. Wagner2, Paul Swain3, Nicolas C. Buchs1, Priya a. Jamidar5, Margherita Cadeddu4, Jean Fasel6, Philippe Morel1
1Digestive Surgery, University Hospital Geneva, Geneva, Switzerland; 2Department of Visceral and Transplantation Surgery, University Bern, Bern, Switzerland; 3Imperial College, London, United Kingdom; 4Department of Surgery, McMaster University, Hamilton, ON, Canada; 5Section of Digestive Diseases, Yale University, New Haven, CT; 6Division of Anatomy, University Geneva, Geneva, Switzerland
BACKGROUND: NOTES-assisted Roux-en-Y gastric bypass (RYGB) might offer certain advantages, but the technical feasibility is unknown.METHODS AND DESIGN: We have performed NOTES-assisted RYGB in 4 human cadavers. VIDEO: The video shows pouch creation using a flexible gastroscope introduced transvaginally. Articulated linear staplers placed transumbilically transect the stomach. Measurement of small bowel is done with flexible and rigid graspers. A flexible transesophageal stapler is used for the gastrojejunostomy, a linear stapler for the jejuno-jejunal anastomosis. CONCLUSION: The video demonstrates the technical feasibility of RYGB in human cadavers using a NOTES-assisted approach.
