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

被引:26
|
作者
Torres-Villalobos, Gonzalo M. [1 ]
Kellogg, Todd A. [1 ]
Leslie, Daniel B. [1 ]
Antanavicius, Gintaras [1 ]
Andrade, Rafael S. [1 ]
Slusarek, Bridget [1 ]
Prosen, Tracy L. [2 ]
Ikramuddin, Sayeed [1 ]
机构
[1] Univ Minnesota, Dept Surg, Minneapolis, MN 55455 USA
[2] Univ Minnesota, Dept Obstet & Gynecol, Minneapolis, MN 55455 USA
关键词
Gastric bypass; Internal hernia; Pregnancy; Bariatric surgery; Laparoscopic; Morbid obesity; Small bowel obstruction; GASTROINTESTINAL COMPLICATIONS; OUTCOMES; TRENDS;
D O I
10.1007/s11695-008-9681-x
中图分类号
R61 [外科手术学];
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:7
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