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  Indian J Med Microbiol
 

Figure 1: Depiction of key components of Optimal Stapling. Begin the transection (blue double head arrow) 5 cm away from the pylorus (P). Use proper sized staples according to the thickness of tissues (green load near pylorus and blue load subsequently). Stay away from the gastroesophageal junction (GEJ, red double headed arrow). Calibrate the sleeve over a bougie (B) not less than 32 Fr in size. Apply steady traction while stapling to avoid spiralling of the sleeve (grey block arrows)

Figure 1: Depiction of key components of Optimal Stapling. Begin the transection (blue double head arrow) 5 cm away from the pylorus (P). Use proper sized staples according to the thickness of tissues (green load near pylorus and blue load subsequently). Stay away from the gastroesophageal junction (GEJ, red double headed arrow). Calibrate the sleeve over a bougie (B) not less than 32 Fr in size. Apply steady traction while stapling to avoid spiralling of the sleeve (grey block arrows)