OBJECTIVE: Gastric bypass is a surgical procedure that is popularly used to treat morbid obesity. Herein, we report a woman who had a rare gastrointestinal complication during the subsequent antepartum period following a gastric bypass surgery. CASE REPORT: After a Roux-en-Y gastric bypass surgery, a 32-year-old woman had unrelenting epigastria for one week at 36 weeks' gestation. An emergency cesarean delivery, followed by laparotomy, was performed. A female neonate was delivered with Apgar scores of 8 and 9 at 1 and 5 minutes, respectively. Strangulation and gangrene of the upper jejunum caused by a fibrous band at the site of the Roux anastomosis were revealed. Segmental resection of the nonviable bowel was performed. The patient experienced a smooth postoperative course. CONCLUSION: The awareness of internal hernias and small bowel strangulation should be addressed when unrelenting epigastric pain is present in women after Roux-en-Y gastric bypass surgery, during their first subsequent pregnancy.
OBJECTIVE: Gastric bypass is a surgical procedure that is popularly used to treat morbid obesity. Herein, we report a woman who had a rare gastrointestinal complication during the subsequent antepartum period following a gastric bypass surgery. CASE REPORT: After a Roux-en-Y gastric bypass surgery, a 32-year-old woman had unrelenting epigastria for one week at 36 weeks' gestation. An emergency cesarean delivery, followed by laparotomy, was performed. A female neonate was delivered with Apgar scores of 8 and 9 at 1 and 5 minutes, respectively. Strangulation and gangrene of the upper jejunum caused by a fibrous band at the site of the Roux anastomosis were revealed. Segmental resection of the nonviable bowel was performed. The patient experienced a smooth postoperative course. CONCLUSION: The awareness of internal hernias and small bowel strangulation should be addressed when unrelenting epigastric pain is present in women after Roux-en-Y gastric bypass surgery, during their first subsequent pregnancy.
Authors: Siddharth Sankar Das; Zaid AbdulAziz Ghulam; Feras Hamid Al Khitab; Farah Ibrahim B Juma; Walid Zakaria Mohd Bandok Journal: Int J Surg Case Rep Date: 2022-10-11
Authors: Gonzalo M Torres-Villalobos; Todd A Kellogg; Daniel B Leslie; Gintaras Antanavicius; Rafael S Andrade; Bridget Slusarek; Tracy L Prosen; Sayeed Ikramuddin Journal: Obes Surg Date: 2008-10-02 Impact factor: 4.129
Authors: Arash Izadpanah; Ali Izadpanah; Mihiran Karunanayake; Christian Petropolis; Dan L Deckelbaum; Mario Luc Journal: Indian J Plast Surg Date: 2014-05
Authors: Märta Kristina Borghede; Lars Vinter-Jensen; Jens Christian Andersen; Peter Brøndum Mortensen; Henrik Højgaard Rasmussen Journal: Int J Surg Case Rep Date: 2013-10-08