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. 2020 Jun;30(6):2464-2465.
doi: 10.1007/s11695-020-04575-4.

Obstruction After Laparoscopic Roux-en-Y Gastric Bypass: Roux Obstruction and Biliopancreatic Gangrene up to Ligament of Treitz

Ahmad Bashir  1 , Ashraf Haddad  2
Affiliations

Obstruction After Laparoscopic Roux-en-Y Gastric Bypass: Roux Obstruction and Biliopancreatic Gangrene up to Ligament of Treitz

Ahmad Bashir et al. Obes Surg. 2020 Jun.

Abstract

Obstruction after laparoscopic Roux-en-Y gastric bypass (LRYGB) is a known complication. We present a video of a patient who suffered both early Roux limb obstruction, and late Petersen's hernia with proximal biliopancreatic limb volvulus and gangrene up to the ligament of Treitz, and how both were managed.

Keywords: Brolin's anti-obstruction stitch; Gastric bypass; Internal hernia; Obstruction; Small bowel resection; Volvulus.

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References

    1. Higa KD, Ho T, Boone KB. Internal hernias after laparoscopic Roux-en-Y gastric bypass: incidence, treatment and prevention. Obes Surg. 2003;13(3):350–4. - DOI
    1. Higa K, Boone K, Arteaga González I, et al. Mesenteric closure in laparoscopic gastric bypass: surgical technique and literature review. Cir Esp. 2007;82(2):77–88. - DOI

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