Small Bowel Obstruction and Internal Hernias during Pregnancy after Gastric Bypass Surgery

被引:0
|
作者
Gonzalo M. Torres-Villalobos
Todd A. Kellogg
Daniel B. Leslie
Gintaras Antanavicius
Rafael S. Andrade
Bridget Slusarek
Tracy L. Prosen
Sayeed Ikramuddin
机构
[1] University of Minnesota,Department of Surgery
[2] University of Minnesota,Department of Obstetrics and Gynecology
来源
Obesity Surgery | 2009年 / 19卷
关键词
Gastric bypass; Internal hernia; Pregnancy; Bariatric surgery; Laparoscopic; Morbid obesity; Small bowel obstruction;
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中图分类号
学科分类号
摘要
Small bowel obstruction (SBO) is a recognized complication of Roux-en-Y gastric bypass (RYGB) surgery. Internal hernia (IH) a potential problem associated with RYGB, can have severe consequences if not diagnosed. We present two cases of SBO due to IH during pregnancy after laparoscopic RYGB (LRYGB). Both patients underwent an antecolic, antegastric LRYGB. In both patients a Petersen’s type IH was found. We reviewed the cases reported in the literature of SBO during pregnancy after RYGB. IH should always be ruled out in pregnant patients with previous RYGB and abdominal pain. Prompt surgical intervention is mandatory for a good outcome.
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页码:944 / 950
页数:6
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