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- Title
Small-Bowel Volvulus in Late Pregnancy Due to Internal Hernia After Laparoscopic Roux-en-Y Gastric Bypass.
- Authors
Naef, Markus; Mouton, Wolfgang G.; Wagner, Hans E.
- Abstract
Internal hernias are a specific cause of acute abdominal pain and are a well-known complication after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Although internal hernias are a rare cause of intestinal obstruction, they may evolve towards serious complications, such as extensive bowel ischemia and gangrene, with the need for bowel resection and sometimes for a challenging reconstruction of intestinal continuity. The antecolic position of the Roux limb is associated with a decrease in the incidence of small-bowel obstruction and internal hernias. The best prevention of the formation of these hernias is probably by closure of potential mesenteric defects at the initial operation with a non-absorbable running suture. We present a patient in late pregnancy with a small-bowel volvulus following laparoscopic Roux-en-Y gastric bypass for morbid obesity and discuss the available literature. For a favorable obstetric and neonatal outcome, it is crucial not to delay surgical exploration and an emergency operation usually is mandatory.
- Subjects
ABDOMINAL pain; LAPAROSCOPY; GASTRIC bypass; HERNIA; BOWEL obstructions
- Publication
Obesity Surgery, 2010, Vol 20, Issue 12, p1737
- ISSN
0960-8923
- Publication type
Report
- DOI
10.1007/s11695-009-9802-1