Mgb:Patient with BMI 62 &weight 180
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Transcript of Mgb:Patient with BMI 62 &weight 180
![Page 1: Mgb:Patient with BMI 62 &weight 180](https://reader038.fdocuments.in/reader038/viewer/2022110217/58a3501e1a28ab14598b4665/html5/thumbnails/1.jpg)
Patient with BMI 62 &weight 180.
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Dissection at lesser curve of stomach
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1st stapler fired using a green reload
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On a bougie Loose pouch is made
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On the lesser curve of stomach subsequent firing is done &a loose pouch is made
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Linear cutting stapler used to make a pouch at lesser curve of stomach
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To release the fundus
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Tunneling is done and gold finger is introduced
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Bypassed stomach is free from the pouch
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Gastrotomy over a bougie by a hook
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Enterotomy is done 200 cm from a D J Flexure
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Staple fired after aligning the gastric poch with the jejunum
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Wide anastomoses between gastric pouch and jejunum to prevent stricture formation
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On bougie few stay sutures are taken which helps in firing stapler
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Stay sutures which helps in firing the stapler
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Gastroenterotomy is closed
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Fully stapled gastrojejunostomy