2016
DOI: 10.1016/s0140-6736(15)01126-5
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Closure of mesenteric defects in laparoscopic gastric bypass: a multicentre, randomised, parallel, open-label trial

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Cited by 248 publications
(196 citation statements)
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“…Closure of the mesenteric defects using non-absorbable running sutures is known to reduce the risk for internal hernia and small bowel obstruction after laparoscopic gastric bypass surgery [13, 18, 19]. When introducing this technique, there was an associated increased risk for early small bowel obstruction, mainly due to kinking of the jejunojejunostomy, and also for pulmonary complication [13].…”
Section: Discussionmentioning
confidence: 99%
See 3 more Smart Citations
“…Closure of the mesenteric defects using non-absorbable running sutures is known to reduce the risk for internal hernia and small bowel obstruction after laparoscopic gastric bypass surgery [13, 18, 19]. When introducing this technique, there was an associated increased risk for early small bowel obstruction, mainly due to kinking of the jejunojejunostomy, and also for pulmonary complication [13].…”
Section: Discussionmentioning
confidence: 99%
“…The technique used for mesenteric defect closure is not so well standardized, but when sutures are used, the mesenteric defects beneath the jejunojejunostomy and at Petersen’s space are predominantly closed using running, non-absorbable sutures [13]. The following two links illustrate the technique for closure of the mesenteric defects using non-absorbable sutures.…”
Section: Methodsmentioning
confidence: 99%
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“…The unique anatomical changes with RYGB create a number of mesenteric defects and possible retrograde peristalsis. Consequently, internal hernia 6 and retrograde intussusception 7 can become major causes of small bowel obstruction after RYGB. Diagnosis is difficult to establish because of a lack of clinical signs.…”
Section: Discussionmentioning
confidence: 99%