Surgical Technique
INTRAOPERATIVE COMPLICATIONS
All the operations were completed laparoscopically by the same surgeon at the surgical department of the University Hospital of Patras. Neither intraoperative complications nor conversion to open were reported. Both procedures included the creation of a small gastric pouch of 30ml capacity, a very long biliopancreatic limb of 200cm and an alimentary limb of 150cm. The aforementioned lengths are common practice for LRYGBP in our bariatric and metabolic surgery unit. The gastrojejunal anastomosis was created with a circular stapler of 25mm diameter after transoral placement of the anvil with assistance from the anesthesiologist. In the LRYGBP+FR group, the gastric body and fundus were mobilized by dividing the gastrocolic ligament and short gastric vessels until exposing the angle of His. After creating an L-shaped gastric pouch with the linear stapler, the fundus was resected with a horizontal transection at the level of the horizontal line of the gastric remnant. This selection was guided by previous experience with fundus resection modification in our department and relevant studies in the literature [