 I then ran the distal bowel down, approximately 100 cm, and at 100 cm, I made a hole at the antimesenteric portion of the Roux limb and a hole in the antimesenteric portion of the duodenogastric limb, and I passed a 45 white load stapler and fired a stapler creating a side-to-side anastomosis. 
I then ran the distal bowel down , approximately 100 cm , and at 100 cm , I made a hole at the antimesenteric portion of the Roux limb and a hole in the antimesenteric portion of the duodenogastric limb , and I passed a 45 white load stapler and fired a stapler creating a side - to - side anastomosis .