Small bowel obstruction after laparoscopic Roux-en-Y gastric bypass presenting as acute pancreatitis: a case report

被引:0
作者
Henning, N. [1 ]
Linskens, R. K. [2 ]
Schepers-van der Sterren, E. E. M. [3 ]
Speelberg, B. [1 ]
机构
[1] Sint Anna Hosp, Dept Intens Care, Geldrop, Netherlands
[2] Sint Anna Hosp, Dept Gastroenterol & Hepatol, Geldrop, Netherlands
[3] Sint Anna Hosp, Dept Surg, Geldrop, Netherlands
来源
NETHERLANDS JOURNAL OF CRITICAL CARE | 2018年 / 26卷 / 04期
关键词
Roux-en-Y; gastric bypass; pancreatitis; pancreatic enzymes; small bowel obstruction; biliopancreatic limb obstruction;
D O I
暂无
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Small bowel obstruction is a common and potentially life-threatening complication after laparoscopic Roux-en-Y gastric bypass surgery. We describe a 30-year-old woman who previously underwent gastric bypass surgery. She was admitted to the emergency department with epigastric pain and elevated serum lipase levels. Conservative treatment was started for acute pancreatitis, but she showed rapid clinical deterioration due to uncontrollable pain and frequent excessive vomiting. An abdominal computed tomography scan revealed small bowel obstruction and surgeons performed an exploratory laparotomy with adhesiolysis. Our patient quickly improved after surgery and could be discharged home. This case report emphasises that in post-bypass patients with elevated pancreatic enzymes, small bowel obstruction should be considered and early computed tomography scan is required in these patients.
引用
收藏
页码:155 / 157
页数:3
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