Procedure

The gastrojejunostomy is done with an omega loop. STEP 1 Placement of the omega loop

Choose a loop of the proximal jejunum that can easily be mobilized to the distal part of the posterior wall of the remnant stomach. The distance of the loop is kept short when a retrocolic route is chosen.

Prepare a small passage in the mesentery of the transverse colon and pull the omega loop through the mesentery. Mind that no tension is exerted on the mesentery when the loop is in place.

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