Table 2: Delphi Consensus on Laparoscopic Roux-en-Y Gastric Bypass (Continued) First Delphi round N Mean 95% CI Second Delphi Round N Mean 95% CI Advancing gastric tube through anastomosis 34 3.71 [3.23 - 4.18] 31 3.65 [3.16 - 4.13] Advised Occlusion of limbs 34 3.24 [2.71 - 3.77] 31 3.23 [2.73 - 3.72] Leak test with insqlling methylene blue dye 34 3.21 [2.65 - 3.76] 31 3.16 [2.66 - 3.66] Leak test with insufflaqng air 34 2.47 [1.93 - 3.01] 31 2.68 [2.15 - 3.21] Checking the bypass and finishing the opera2on Checking removal of gastric tube 34 3.29 [2.86 - 3.73] 31 3.45 [3.01 - 3.89] Opening mesentery 34 3.38 [2.85 - 3.91] 31 2.9 [2.37 - 3.43] Transecqng small bowel between GJ and JJ anastomosis 34 4.59 [4.28 - 4.9] Key step Closure of Petersen's space 34 2.91 [2.47 - 3.35] 31 2.94 [2.48 - 3.39] Closure of mesenteric gap 34 2.94 [2.5 - 3.39] 31 2.87 [2.42 - 3.32] Placement of a drain 34 1.53 [1.14 - 1.92] Excluded Removal of liver retractor 34 4.35 [3.97 - 4.74] 31 4.16 [3.77 - 4.55] Key step Removal of trocars 34 4.47 [4.15 - 4.79] Key step Closure of fascia 34 1.79 [1.37 - 2.22] Excluded Skin closure 34 3.91 [3.49 - 4.34] 31 3.65 [3.27 - 4.02] Advised Sign out 34 4.26 [3.94 - 4.59] 31 4.16 [3.79 - 4.53] Key step CI = confidence interval, GJ =gastrojejunal, JJ = jejunojejunal, OR = operating room a Belsey’s fat pad is an eponym of the gastroesophageal junction fat pad b The length of the limbs was not discussed in this survey 68 4
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