Abstract
AIMS: gastric bypass is the gold standard in bariatric surgery. The Roux-en-Y laparoscopic gastric bypass is an new advanced technique for the surgical management of morbid obesity.
METHODS: twenty-seven patients were operated on by laparoscopy and in 17 of them the technique was successfully completed. The surgical steps are described.
RESULTS: percentage excess weight loss EWL) at 12 and 18 months was more than 70%, and similar to that obtained with the open technique.
CONCLUSIONS: this is a complex technique involving multiple details and a difficult learning curve. Leaks are the most dangerous complication.