Here is a perfect (IMO) gastric pouch in a mini gastric bypass (MGB). Why perfect?
1. Long pouch
2. Bloodless
3. Esthetic
4. Perfect calibration of pouch, uniform tubular shape
5. No twisting
6. Adjacent structures clearly visible and spared (no chance of injury to pancreas, spleen, etc.)
7. Right distance away from GE junction
8. Remnant gastric outlet channel adequate
9. No twisting or pouch
10. Gastrotomy at the most dependent part

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