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Case Reports
. 2010 Oct-Dec;14(4):592-5.
doi: 10.4293/108680810X12924466008682.

Jejunal Bezoar causing obstruction after laparoscopic Roux-en-Y gastric bypass

Mohammad Sarhan  1 , Bhakta Shyamali, Adeshola Fakulujo, Leaque Ahmed
Affiliations
Case Reports

Jejunal Bezoar causing obstruction after laparoscopic Roux-en-Y gastric bypass

Mohammad Sarhan et al. JSLS. 2010 Oct-Dec.

Abstract

Bowel obstruction is a known complication of Roux-en-Y gastric bypass. It can be caused by adhesions, internal hernia, incarcerated ventral hernia, or intussusception. Sometimes the underlying cause may be unusual. These 2 case reports describe patients who underwent laparoscopic Roux-en-Y gastric bypass and whose postoperative courses were complicated by small-bowel obstruction due to phytobezoars in the ileum, distal to the jejunojejunal anastomosis. We reviewed the literature by using PubMed and Medline for causes, pathogenesis, classifications, diagnosis, and management.

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Figures

Figure 1.
Figure 1.
Computed tomographic scan of the abdomen. Arrow pointing to the intraluminal mottled mass. Also seen dilated and collapsed small bowel loops.
Figure 2.
Figure 2.
Laparoscopic extraction of phytobezoar. One arrow points to the phytobezoar after removal from the lumen. One arrow points to the enterotomy site.
Figure 3.
Figure 3.
Laparoscopic closure of the enterotomy site in 2 layers.
See this image and copyright information in PMC

References

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