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Objective In the context of the planned International Society of Ultrasound in Obstetrics and

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Hypothesis: Although perceived as a more technically demanding and time-consuming technique, the handsewn gastrojejunostomy during laparoscopic Rouxen-Y gastric bypass (RYGB) is associated with fewer complications and lower costs than stapled techniques.Design: A retrospective medical record review of prospectively collected data.

The gastrojejunostomy may be the most technically challenging step when performing laparoscopic Roux-en-Y gastric bypass. Patients who develop anastomotic leaks have increased morbidity and mortality rates. Difficulty in diagnosis is related to nonspecific systemic symptoms and limitations in most radiological studies. Our aim is to evaluate the incidence, etiology, diagnosis, management, and prevention of anastomotic leaks occurring in patients undergoing laparoscopic Roux-en-Y gastric bypass.