Internal herniation during pregnancy after gastric bypass surgery
Short bowel obstruction (sbo) after gastric bypass surgery is a potentially severe complication, particularly when disregarded and untimely treated. Sbo during pregnancy is associated with a significant fetomaternal morbidity and mortality. With the exponential growth of bariatric surgery, knowledge of this complication is of essential importance to all physicians.
Therefore, 2 cases of sbo secondary to an internal herniation in pregnant women with a history of a laparoscopic Roux-en-Y gastric bypass are presented. In both cases, an exploratory laparoscopy was performed, based on a strong clinical suspicion of an internal herniation. Since bowel ischemia was detected, both procedures were converted to a laparotomy.
An internal herniation must always be excluded in pregnant women with abdominal pain and a history of gastric bypass surgery. A timely intervention is necessary to guarantee the survival of mother and child.
Diagnosing Internal Herniation After Roux-en-Y Gastric Bypass Surgery: Literature Overview, Cadaver Study and the Added Value of 3D CT Angiography
