 I joined the spike with the anvil and fired a stapler creating an end-to-side anastomosis, then divided across the redundant portion of my Roux limb with a white load GI stapler, and removed it with an Endocatch bag. 
I joined the spike with the anvil and fired a stapler creating an end - to - side anastomosis , then divided across the redundant portion of my Roux limb with a white load GI stapler , and removed it with an Endocatch bag .