Circular Stapler Technique for Gastroenterostomy

A Survey of Dumping Symptomatology after Gastric Bypass With or Without Lesser Omental Transection

“…In the former instance, the lesser omentum (and presumably the vagal fibers therein) was transected. Both omental transection [2,[16][17][18] and preservation [3,4,[19][20][21] have appeared in published descriptions of laparoscopic gastric bypass. The likely rationale for omental transection during gastric bypass is that access to the retrocardia is technically easier with this technique, compared to perigastric dissection and omental preservation.…”