TASK / STEP 1 2 3 4 5 N/A Testing of GJ anastomosis: Blue dye technique Clamp Roux limb distal to GJ anastomosis Not clamped; clamped with excessive tissue trauma, traction Clamped correctly; mild tissue trauma or traction; some clamping of mesentery Clamped correctly; minimal tissue trauma or traction Fill gastric pouch with 60-120 mL of methylene blue dye Not performed; insufficient amount of dye to distend the gastric pouch Performed correctly with some prompting; moderate distension of gastric pouch Performed correctly; adequate distension of gastric pouch Suction at left and right corners of anastomosis looking for dye leak Not performed Performed hastily Performed carefully and thoroughly Request for fluid to be sucked back from gastric pouch Not performed Performed after some delay Performed quickly, without delay Air insufflation test Introduce an endoscope/ orogastric tube into gastric pouch Not performed; excessive tissue manipulation/trauma Performed correctly; prompting required; minimal tissue trauma Performed correctly; without delay; minimal tissue trauma Instill saline into peritoneal cavity and submerge the GJ in saline Not performed Performed after some delay Performed quickly, without delay Occlude Roux limb distal to GJ anastomosis Not clamped; clamped with excessive tissue trauma, traction Clamped correctly; mild tissue trauma or traction; some clamping of mesentery Clamped correctly; minimal tissue trauma or traction Insufflate gastric pouch with air Not performed; insufficient amount of air to distend the gastric pouch Performed correctly with some prompting; moderate distension of gastric pouch Performed correctly; adequate distension of gastric pouch Check for air leak Not performed Performed hastily Performed carefully and thoroughly Suction saline from peritoneal cavity Not performed Performed after some delay Performed quickly, without delay 5 105 A new procedure-based assessment in gastric bypass surgery
RkJQdWJsaXNoZXIy MTk4NDMw