Ante-hepatic gastrojejunostomy

George S. Ferzli, Eric D. Edwards

Research output: Contribution to journalArticlepeer-review


Surgical treatment of morbid obesity continues to increase in popularity. The evolution of laparoscopic techniques has in part fueled that popularity. A common obstacle in achieving exposure of the angle of His during a laparoscopic Roux-en-Y gastric bypass is a massively enlarged liver. Exposure of the angle of His is key to successfully creating the gastric pouch and completing the gastrojejunostomy. Several well-described techniques exist to achieve this exposure but suffer from potential draw backs such as bleeding and the need to insert additional trocars. We describe a technique that allows safe, excellent exposure of the gastroesophageal junction during laparoscopic Roux-en-Y gastric bypass.

Original languageEnglish
Pages (from-to)708-710
Number of pages3
JournalAmerican Journal of Surgery
Issue number5
StatePublished - May 2008
Externally publishedYes


  • Bariatric
  • Gastric bypass
  • Gastroesophageal junction
  • Laparoscopic Roux-en-Y
  • Laparoscopy


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