Easy fixation effects the prevention of Peterson’s hernia and Roux stasis syndrome

Figure 1 Petersen’s defect (white arrow).

Figure 2 Laparoscopic intracorporeal Roux-en-Y gastrojejunostomy after distal gastrectomy and surgical technique for fixation of Roux limb and duodenal stump. A: The cut end of the jejunal limb faced the greater curvature; B: The site of entry was closed using a running handsewn suture; C: The duodenal stump was embedded with seromuscular suture; and D: Roux limb was fixed on the duodenal stump.

Figure 3 The final reconstruction.