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Dr. Kelvin Higa MD, FACS, FASMBS Clinical Professor of Surgery, UCSF - Fresno Medical Education Program

Technique Description:

Standard Roux-en-Y gastric bypass.

Young female with 45 kg/m2 BMI, GERD and PCOS.

Procedures Steps:

  1. Entry and exploration
  2. Creation of Roux
  3. Creation of gastric pouch
  4. Hand-sewn gastro-jejunostomy

Learning Points:

  1. If it looks hard, you are doing something wrong
  2. Think about the next guy
  3. Shortcuts rarely work
  4. Improvise, overcome and adapt
  5. Common sense trumps expert opinion