Triple-stapling technique for jejunojejunostomy in laparoscopic gastric bypass

Since its introduction in 1994, laparoscopic gastric bypass has become an increasingly popular procedure for the surgical treatment of morbid obesity. In fact, it has been stated that the most prevalent laparoscopic bariatric procedure in the United States is the gastric bypass. Multiple studies have demonstrated the safety and efficacy of this procedure. One well-designed prospective randomized study by Nguyen et al comparing the laparoscopic approach with the open approach showed a shorter convalescence, a shorter hospital stay, and less blood loss with the laparoscopic gastric bypass. In addition, the patients who underwent this procedure had more rapid improvement in their quality of life and an amount of weight loss comparable with that of the patients in the open group.