Laparoscopic Roux-en-Y gastric bypass: Controversies

The characterization of the Roux-en-y gastric bypass as the gold standard for bariatric surgery has been misleading because there is no standard technique employed by the majority of surgeons (1). The laparoscopic gastric bypass has followed in the footsteps of the open approach and varies widely in construction (2-6). Controversies exist over the ideal methods to maximize outcomes and minimize complications, which are the goals of every surgical procedure. This chapter explores several of the current controversies about the laparoscopic gastric bypass technique.