Redo Laparoscopic Gastric Bypass in a Patient with Intestinal Malrotation: Report of a Case and Video Vignette

被引：0
|
作者：
Bohlmann, Ingeborg [1 ]
Mueller, Werner [1 ]
Schuster, Antonius [2 ]
Falch, Claudius [1 ]
机构：
[1] Gen Hosp Bregenz, Dept Gen & Visceral Surg, Carl Pedenz Str 2, A-6900 Bregenz, Austria
[2] Gen Hosp Bregenz, Dept Radiol, Bregenz, Austria
来源：
OBESITY SURGERY | 2023年 / 33卷 / 8期
关键词：
Gastric bypass; Intestinal malrotation; Complications bariatric surgery;
D O I：
10.1007/s11695-023-06694-0
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Unknown intestinal rotation anomaly poses a challenge in laparoscopic gastric bypass surgery. We present a case of a patient with intestinal non-rotation that stayed undetected throughout performing a laparoscopic Roux-en-Y gastric bypass. As a result, the alimentary limb was constructed in an anti-peristaltic way, and the whole gastric bypass was located far more distally than usual. Postoperatively, the patient presented with recurring nausea and vomiting. After several diagnostic steps, a computed tomography finally revealed the inadvertently reverse directed gastric bypass and the pre-existing condition of intestinal non-rotation. This was followed by a diagnostic laparoscopy and the reconstruction of the gastric bypass in "mirrored" technique.
引用
收藏
页码：2620 / 2624
页数：5
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