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.

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 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 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.

Anaesthesia for obesity

2018 ◽  
Author(s):  
Nick Kennedy ◽  
Mark Abou-Samra
Keyword(s):  
Bariatric Surgery ◽  
Gastric Bypass ◽  
Sleeve Gastrectomy ◽  
Gastric Banding ◽  
Obesity Surgery ◽  
Surgical Procedures ◽  
Intragastric Balloon ◽  
Anaesthetic Management ◽  
Risk Scoring

This chapter discusses the anaesthetic management of obesity surgery (bariatric surgery). It begins with an introduction to obesity surgery, risk scoring, indications for when obesity surgery should be offered, a discussion of common co-morbidities, airway considerations, handling and positioning, pharmacology, and thromboprophylaxis. Surgical procedures covered include intragastric balloon insertion and removal, gastric banding, gastric bypass, and sleeve gastrectomy.

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.

Anaesthesia for obesity

2016 ◽  
Author(s):  
Nick Kennedy ◽  
Mark Abou-Samra
Keyword(s):  
Bariatric Surgery ◽  
Gastric Bypass ◽  
Sleeve Gastrectomy ◽  
Gastric Banding ◽  
Obesity Surgery ◽  
Surgical Procedures ◽  
Intragastric Balloon ◽  
Anaesthetic Management ◽  
Risk Scoring

This chapter discusses the anaesthetic management of obesity surgery (bariatric surgery). It begins with an introduction to obesity surgery, risk scoring, indications for when obesity surgery should be offered, a discussion of common co-morbidities, airway considerations, handling and positioning, pharmacology, and thromboprophylaxis. Surgical procedures covered include intragastric balloon insertion and removal, gastric banding, gastric bypass, and sleeve gastrectomy.

Bariatric surgery

2021 ◽  
pp. 685-694
Author(s):  
Nicholas Kennedy ◽  
Katherine Reeve
Keyword(s):  
Bariatric Surgery ◽  
Gastric Bypass ◽  
Sleeve Gastrectomy ◽  
Gastric Banding ◽  
Obesity Surgery ◽  
Surgical Procedures ◽  
Intragastric Balloon ◽  
Anaesthetic Management ◽  
Risk Scoring

This chapter discusses the anaesthetic management of obesity surgery (bariatric surgery). It begins with an introduction to obesity surgery; risk scoring; indications for when obesity surgery should be offered. Surgical procedures covered include intragastric balloon insertion and removal; gastric banding; gastric bypass, and sleeve gastrectomy.

scholarly journals Small bowel obstruction and strangulation secondary to an adhesive internal hernia post ESWL for right ureteral calculi: a case report and review of literature

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Elaine N. Gitonga ◽  
Haitao Shen
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Internal Hernia ◽  
Ureteral Calculi ◽  
Emergency Laparotomy ◽  
Extracorporeal Shock Wave ◽  
Relative Safety

Abstract Background Extracorporeal shock wave lithotripsy (ESWL) is a relatively safe and convenient mode of treatment for ureteral and renal stones, despite its relative safety; ESWL is not without its complications. We present a case of a patient we managed for small bowel obstruction and strangulation due to an adhesive internal hernia after ESWL was done because of right ureteral calculi. Case presentation We report a case of a 59-year-old patient who presented with severe abdominal pain a few hours after ESWL because of a right upper ureteric calculus. The abdominal pain increased in severity in time and became more generalized. The patient had one episode of gross hematochezia as she was being prepped for emergency laparotomy. Intra-op, she had a strangulated internal hernia because of an omental-mesenteric adhesion. Conclusion This case report hopes to highlight the potential of complications like acquired IH due to adhesions in patients with a history of ureteral calculi, and also the complications that may come about post-ESWL. Patients who present with signs of persistent abdominal pain post-ESWL should be vigilantly observed. If symptoms persist, increase in intensity or there is a general deterioration of the patients’ hemodynamic status, even in light of negative MDCT findings, prompt surgical intervention is crucial for definitive diagnosis as well as management.

Hernia interna estrangulada por plastrón en el tercio distal del apéndice cecal

2019 ◽  
Vol 62 (6) ◽  
pp. 24-27
Author(s):  
Leslie M. Leyva Sotelo ◽  
José E. Telich Tarriba ◽  
Daniel Ángeles Gaspar ◽  
Osvaldo I. Guevara Valmaña ◽  
André Víctor Baldín ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Early Diagnosis ◽  
Intestinal Obstruction ◽  
Acute Abdomen ◽  
Internal Hernia ◽  
Wide Spectrum ◽  
Internal Hernias ◽  
Mild Abdominal Pain ◽  
Made In

Internal hernias are an infrequent cause of intestinal obstruction with an incidence of 0.2-0.9%, therefore their early diagnosis represents a challenge. The most frequently herniated organ is the small bowel, which results in a wide spectrum of symptoms, varying from mild abdominal pain to acute abdomen. We present the case of an eight-year old patient with nonspecific digestive symptoms, a transoperative diagnosis was made in which an internal hernia was found strangulated by plastron in the distal third of the appendix. Appendectomy was performed and four days later the patient was discharged without complications.

B-Lymphoblastic Lymphoma of the Small Bowel: An Extremely Rare Occurrence

2021 ◽  
pp. 000313482199867
Author(s):  
Nikolaos G Symeonidis ◽  
Kalliopi E Stavrati ◽  
Efstathios T Pavlidis ◽  
Kyriakos K Psarras ◽  
Eirini Martzivanou ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Soft Tissues ◽  
Lymphoblastic Lymphoma ◽  
Emergency Laparotomy ◽  
Rare Occurrence ◽  
Small Bowel Tumor ◽  
Gastrointestinal Lesions ◽  
Immature B Cells ◽  
B Lymphoblastic Lymphoma

B-lymphoblastic lymphoma is a neoplasm of immature B cells and is characterized by aggressive behavior and disease progression. Common sites of involvement are skin, lymph nodes, bone, soft tissues, breast, and the mediastinum. Gastrointestinal lesions are rarely encountered and therefore not fully described. We herein report the case of a 28-year-old male, who presented with abdominal pain and CT scan showed a tumor involving the small bowel and its mesentery. He underwent emergency laparotomy and enterectomy. Histopathology report revealed B-lymphoblastic lymphoma affecting the small bowel and the adjacent mesentery. This is the first documented case of a small bowel tumor diagnosed as B-lymphoblastic lymphoma in published literature.

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