scholarly journals Abdominal Pain after Gastric Bypass: Labor, Uterine Rupture, or Obstruction and Internal Hernia

2011 ◽  
Vol 2011 ◽  
pp. 1-3
Author(s):  
Sarah N. Cross ◽  
Unzila Nayeri ◽  
Andrew Duffy ◽  
Christian M. Pettker
Keyword(s):  
Gastric Bypass ◽  
Abdominal Pain ◽  
Internal Hernia ◽  
Preterm Labor ◽  
Gastrointestinal Pathology ◽  
Treatment Of Obesity ◽  
Prolonged Hospital ◽  
Reproductive Aged Women ◽  
Emergent Laparotomy ◽  
Surgical Treatment Of Obesity

Background. Although gastric bypass may reduce obesity-related complications of subsequent pregnancies, surgical complications requiring antenatal and postpartum interventions are not uncommon.Case. A 26-year-old G4P1112 status post-Roux-en-Y gastric bypass required multiple urgent antenatal evaluations due to frequent episodes of abdominal pain. At 35 + 4 weeks, she presented with severe abdominal pain; initial evaluation was negative for gastrointestinal pathology. The patient was found to be in preterm labor and underwent a repeat cesarean section. The postoperative course was complicated by bowel obstruction due to internal hernia resulting in an emergent laparotomy and a prolonged hospital course.Conclusion. As more reproductive-aged women opt for surgical treatment of obesity, it is essential that obstetricians recognize complications to be able to counsel and appropriately care for these patients.

Role of CT imaging in discriminating internal hernia from aspecific abdominal pain following Roux-en-Y gastric bypass: a single high-volume centre experience

2020 ◽  
Vol 72 (4) ◽  
pp. 1115-1124 ◽  
Author(s):  
Veronica Bordonaro ◽  
Maria Gabriella Brizi ◽  
Francesca Lanza ◽  
Pierpaolo Gallucci ◽  
Amato Infante ◽  
...  
Keyword(s):  
Gastric Bypass ◽  
Abdominal Pain ◽  
Internal Hernia ◽  
High Volume ◽  
Ct Imaging

scholarly journals Roux-En-Y By-Pass Ressection Due to Intestinal Ischemia

2021 ◽  
Vol 6 (3) ◽  
Keyword(s):  
Gastric Bypass ◽  
Abdominal Pain ◽  
Obesity Surgery ◽  
Surgical Procedures ◽  
Internal Hernia ◽  
Intestinal Ischemia ◽  
Intestinal Transit ◽  
Emergency Laparotomy ◽  
Ischemic Area ◽  
Primary Surgery

Obesity surgery is one of the most commonly performed surgical procedures today and laparoscopy has become the preferred technique for Roux-en-Y gastric bypass. A patient transferred to the surgery service for an abdominal pain had an abdominal tomography performed which demonstrated an aspect suggestive of internal hernia. Underwent emergency laparotomy. Resection of the ischemic area was performed. Reconstruct intestinal transit was madded 4 days after primary surgery. In this case, the complete ischemia of the Bypass segment has become a challenge to reconstruct the transit.

scholarly journals Gastric bypass in modern bariatric surgery

2020 ◽  
Vol 17 (2) ◽  
pp. 130-137
Author(s):  
Oral B. Ospanov ◽  
Galymzhan A. Yeleuov ◽  
Farida K. Bekmurzinova
Keyword(s):  
Bariatric Surgery ◽  
Gastric Bypass ◽  
Surgical Treatment ◽  
Bypass Surgery ◽  
Gastric Bypass Surgery ◽  
Promising Alternative ◽  
Advantages And Disadvantages ◽  
Surgical Methods ◽  
Treatment Of Obesity ◽  
Surgical Treatment Of Obesity

The Roux-en-Y Gastric bypass surgery has long been considered as the gold standard method for the surgical treatment of obesity and its complications. But at present, this position is disputed by supporters of one-anastomotic gastric bypass and sleeve gastrectomy. The decrease in the share of gastric bypass in the structure of bariatric operations is explained by technical complexity, surgical and malabsorption complications. This review reflects the main role of gastric bypass as a bariatric surgery in the treatment of obesity and metabolic syndrome, and discloses various options for the technical implementation of gastric bypass surgery according to Roux-en-Y and alternative one-anastomotic gastric bypass surgery. The advantages and disadvantages of the stapler-use and stapleless method for performing bariatric operations are shown. In our opinion, one of the promising alternative concepts for the surgical treatment of obesity is stapleless one-anastomotic direction in gastric bypass surgery, but the known stapleless methods are imperfect and unsafe. Thus, based on the presented literature review, we can conclude that the imperfection of not only the stapler gastric bypass methods, but also the stapleless method. Therefore, a further research is needed for alternative surgical methods that would reduce the likelihood of surgical complications, reduce the cost of bariatric surgery and increase the accessibility of surgical treatment of obesity for the population.

scholarly journals Petersen’s Space Internal Hernia after Laparoscopic One Anastomosis (Mini) Gastric Bypass

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Mohammad Kermansaravi ◽  
Mohammad Kazazi ◽  
Abdolreza Pazouki
Keyword(s):  
Gastric Bypass ◽  
Abdominal Pain ◽  
Internal Hernia ◽  
Signs And Symptoms ◽  
Mini Gastric Bypass ◽  
Complete Obstruction ◽  
Intermittent Abdominal Pain ◽  
Equal Zero ◽  
Case Summary ◽  
Exploratory Laparoscopy

Background. One anastomosis gastric bypass (OAGB) is now considered as an appropriate alternative for Roux-en-Y gastric bypass (RYGB) with some advantages such as absence of risk for internal hernia (IH). But, is really the risk of IH equal zero after OAGB? Case Summary. A 37-year-old male was admitted due to severe abdominal crampy pain, nausea, vomiting, and obstipation. He had chronic and intermittent abdominal pain from 2 years after OAGB. With high suspicion of complete obstruction, the exploratory laparoscopy was performed. Intraoperative findings showed incarcerated bowel hernia from Petersen’s defect. The incarcerated bowel was reduced, and the defect was repaired. The patient was discharged 2 days after operation. Conclusion. The incidence of IH after OAGB is rare but not zero. In any suspicious signs and symptoms for IH, the early exploratory laparoscopy is mandatory to diagnose and treat.

scholarly journals COMPLICATIONS RELATED TO GASTRIC BYPASS PERFORMED WITH DIFFERENT GASTROJEJUNAL DIAMETERS

2016 ◽  
Vol 29 (suppl 1) ◽  
pp. 12-14 ◽  
Author(s):  
José SAMPAIO-NETO ◽  
Alcides José BRANCO-FILHO ◽  
Luis Sérgio NASSIF ◽  
Anne Caroline BROSKA ◽  
Douglas Jun KAMEI ◽  
...  
Keyword(s):  
Gastric Bypass ◽  
Statistical Significance ◽  
Gastrojejunal Anastomosis ◽  
Site Infection ◽  
Early Complications ◽  
Group 2 ◽  
Treatment Of Obesity ◽  
Different Diameters ◽  
Surgical Treatment Of Obesity ◽  
Group 1

ABSTRACT Background: Among the options for surgical treatment of obesity, the most widely used has been the Roux-en-Y gastric bypass. The gastrojejunal anastomosis can be accomplished in two ways: handsewn or using circular and linear stapled. The complications can be divided in early and late. Aim: To compare the incidence of early complications related with the handsewn gastrojejunal anastomosis in gastric bypass using Fouchet catheter with different diameters. Method: The records of 732 consecutive patients who had undergone the bypass were retrospectively analyzed and divided in two groups, group 1 with 12 mm anastomosis (n=374), and group 2 with 15 mm (n=358). Results: The groups showed anastomotic stenosis with rates of 11% and 3.1% respectively, with p=0.05. Other variables related to the anastomosis were also analyzed, but without statistical significance (p>0.05). Conclusion: The diameter of the anastomosis of 15 mm was related with lower incidence of stenosis. It was found that these patients had major bleeding postoperatively and lower surgical site infection, and in none was observed presence of anastomotic leak.

scholarly journals Internal hernia with Roux loop gangrene in a post

2019 ◽  
Vol 6 (8) ◽  
pp. 2995
Author(s):  
Swaminathan Ganesan ◽  
Satish Devakumar
Keyword(s):  
Gastric Bypass ◽  
Abdominal Pain ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Internal Hernia ◽  
Laparoscopic Exploration ◽  
Internal Hernias ◽  
Elective Repair ◽  
High Degree

High degree suspicion is mandatory in dealing with a post-operative patient presenting with a crampy postprandial abdominal pain, as potential for internal hernias remains fairly under diagnosed. Except in setting of small bowel obstruction or gangrene and radiological proven internal hernia, intervening a patient with herald symptoms is still debatable, though certain authors advocate that in lap. Roux-en Y gastric bypass patients with herald symptoms should promptly be offered elective laparoscopic exploration elective repair safely and expeditiously.

Sign in / Sign up

Export Citation Format

Share Document