GJ strictures have been described with both the open and laparoscopic procedures, and there has been a concern that this problem may be more commonly after laparoscopic technique. Symptomatic GJ anastomotic stricture is a relatively common finding following gastric bypass and needs to be aggressively investigated and appropriately treated . A handsewn technique (such as the one used in our series) using linear staplers instead of circular staplers, has been reported to have a lower rate of GJ strictures .