Gastric Bypass Surgical Procedures

The SPGJ procedure is illustrated in Figure 1. A separate part of the stomach at the junction of the gastric corpus and antrum or about 5 cm from the upper edge of the tumor with a linear stapler, leaving the 2–3 cm wide gastric corpus near the lesser curvature. Cut an opening at the margin of the greater curvature of the proximal stomach. Cut another opening on the opposing mesangial limbus of the jejunum 5–10 cm away from the ligament of flexion. Then a linear stapler is inserted, and the greater curvature and the jejunum are side-to-side anastomosed at the back of the colon. The opening was closed by continuous suture with barbed wire.
The CGJ procedure is illustrated in Figure 2. Cut an opening at the lowermost point of the greater curvature or about 5 cm from the upper edge of the tumor. Cut another opening on the opposing mesangial limbus of the jejunum 5–10 cm away from the ligament of flexion. Then a linear stapler is inserted, and the greater curvature and the jejunum are side-to-side anastomosed at the back of the colon. The opening was closed by continuous suture with barbed wire.