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March 10, 2022
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VIDEO: What’s in a name? The young surgeon behind the Roux-en-Y anastomosis

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In this Endo-Sketch, a Healio video series on clinical conditions named after famous colleagues, Klaus Mergener, MD, of the University of Washington School of Medicine, discusses the origin of Roux-en-Y anastomosis.

According to Mergener, this end-to-side surgical technique between the distal jejunum and stomach, was first performed by César Roux. Roux was born in Switzerland in 1857 and was appointed chief of surgery at the Canton Hospital in Lausanne when he was just 30 years old. He later became professor of clinical surgery and gynecology when the University of Lausanne was founded in 1890.

Roux first performed one of these Y-shaped anastomoses for gastric obstruction in 1892 and described the technique a year later in a series of 29 cases.

“The Roux-en-Y technique quickly became an important technique in many operations, such as those involving chronic pancreatitis, pancreatic cancer (where it is part of the Whipple procedure), obstruction of the biliary system and, of course, nowadays in bariatric surgery,” Mergener said.

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