CHAPTER 19

Laparoscopic Gastric Bypass

Laparoscopic gastric bypass is a largely restrictive and mildly malabsorptive procedure that reroutes the passage of ingested food and fluid from a small pouch created with surgical staples or sutures in the proximal stomach to a segment of the proximal small bowel.

Possible equipment needed for the procedure includes a laparoscope, a camera, a fiberoptic light cord, and special long trocars and obturators.

19-1 Left to right: 1 Bard-Parker knife handle #3; 2 Adson tissue forceps with teeth (1 × 2); 2 thumb tissue forceps without teeth, short; 1 mayo dissecting scissors, curved; 1 Metzenbaum dissecting scissors, 7 inch; 1 mayo dissecting scissors, straight; 2 mayo-Péan hemostatic forceps, curved; 2 Kocher clamps; 1 Crile-Wood needle holder, 7 inch; 1 Crile-Wood needle holder, 5 inch; 6 Crile hemostatic forceps, curved, inch; 4 Backhaus towel clips; 8 paper drape clips; and 3 noninsulated rotating handles.

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