Gastrointestinal hemorrhage is an infrequent major complication of gastric bypass. We present a 22-year-old morbidly obese man who underwent a laparoscopic Roux-en-Y gastric bypass and had several life-threatening hemorrhages from both the gastric pouch and gastric remnant, associated with an intra-abdominal hemorrhage. The patient underwent two subsequent reoperations, leading eventually to gastrectomy. The possibility to discover all the sources of bleeding after gastric bypass is discussed, and the adoption of a modification of the procedure that allows the investigation of the excluded stomach is suggested
Failure of gastric bypass following several gastrointestinal hemorrhages / E. Mozzi, E. Lattuada, M.A. Zappa, I. Antonini, F.P. Andreoli, S. Badiali, G. Roviaro. - In: OBESITY SURGERY. - ISSN 0960-8923. - 20:4(2010 Apr), pp. 523-525. [10.1007/s11695-008-9629-1]
Failure of gastric bypass following several gastrointestinal hemorrhages
E. MozziPrimo
;I. Antonini;F.P. Andreoli;S. BadialiPenultimo
;G. RoviaroUltimo
2010
Abstract
Gastrointestinal hemorrhage is an infrequent major complication of gastric bypass. We present a 22-year-old morbidly obese man who underwent a laparoscopic Roux-en-Y gastric bypass and had several life-threatening hemorrhages from both the gastric pouch and gastric remnant, associated with an intra-abdominal hemorrhage. The patient underwent two subsequent reoperations, leading eventually to gastrectomy. The possibility to discover all the sources of bleeding after gastric bypass is discussed, and the adoption of a modification of the procedure that allows the investigation of the excluded stomach is suggested
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