Gastric Balloon catheter to facilitate pouch
The stomach is exposed and mobilized. A gastric balloon catheter may be used to define the pouch and facilitate pouch creation. (Soper NJ, Swanstrom LL, Eubanks WS, eds. Mastery of Endoscopic and Laparoscopic Surgery. 2d ed. Philadelphia: Lippincott Willi
Port Placement for Gastric Bypass
Port placement for laparoscopic gastric bypass. Ports B and E should be 12-mm ports. The remaining ports may be 5- or 11-mm ports, depending upon instrumentation; C is the camera port. (Soper NJ, Swanstrom LL, Eubanks WS, eds. Mastery of Endoscopic and La
Patient position and room setup for gastric bypass
Patient position and room setup for laparoscopic gastric bypass: S, surgeon; A, assistant; CO, camera operator; M, monitor; IT, instrument table. (Soper NJ, Swanstrom LL, Eubanks WS, eds. Mastery of Endoscopic and Laparoscopic Surgery. 2d ed. Philadelphia
Anvil and gastric wall after transoral delivery
The anvil is pulled through the gastric wall after transoral delivery. (Soper NJ, Swanstrom LL, Eubanks WS, eds. Mastery of Endoscopic and Laparoscopic Surgery. 2d ed. Philadelphia: Lippincott Williams & Wilkins, 2005. Used by permission.)
The pars flaccida technique
The pars flaccida technique. A tunnel is made in the posterior gastric fatty tissue at the level of the gastroesophageal junction and just inferior to the crural confluence. This technique decreases the incidence of posterior gastric herniation.