scholarly journals Сase of successful treatment of chronic gastric remnant haemorrhagic ulcer after Roux-en-Y gastric bypass

2020 ◽  
Vol 17 (1) ◽  
pp. 88-92
Author(s):  
Mikhail K. Ryzhov ◽  
Pavel S. Zubeev ◽  
Nataliya S. Grekova ◽  
Vladimir I. Vasyankin
Keyword(s):  
Gastric Bypass ◽  
Outpatient Treatment ◽  
Rare Complication ◽  
Postoperative Recovery ◽  
Endoscopic Examination ◽  
Gastric Remnant ◽  
Residual Stomach ◽  
Acute Bleeding ◽  
Surgical Department ◽  
Satisfactory Condition

Acute bleeding from a gastric remnant ulcer is an exceptionally rare complication, especially if it occurs several years after bariatric surgery. We present a case of a patient with a bleeding gastric remnant ulcer that occurred 6 years (20132019) after the Roux-en-Y Gastric Bypass (RYGB) performed for morbid obesity. The patient was urgently hospitalized in the surgical department with the clinic of gastrointestinal bleeding, according to fibroesophagogastroscopy, no sources of bleeding were found in the examined departments. On the background of conservative treatment, there was an improvement in the condition, but on the fifth day of hospitalization there was a clinic of recurrence of bleeding, while repeated emergency endoscopic examination of the sources also did not reveal. In this regard, it was decided to perform surgery to examine the residual stomach. With the help of laparoscopic transgastric gastroduodenoscopy, we were able to detect the source of active bleeding in the stomach excluded from digestion - a bleeding ulcer in the area of small curvature. The removal of this stomach was performed with a good postoperative recovery: the patient was discharged in a satisfactory condition for outpatient treatment, currently feels well, returned to work.

Early gastrogastric fistula after Roux-en-Y gastric bypass: successful fistula treatment with self-expandable endoscopic stent

2021 ◽  
Vol 14 (6) ◽  
pp. e243748
Author(s):  
Julian Süsstrunk ◽  
Miriam Thumshirn ◽  
Ralph Peterli ◽  
Marko Kraljević
Keyword(s):  
Gastric Bypass ◽  
Gastric Bypass Surgery ◽  
Rare Complication ◽  
Gastric Pouch ◽  
Gastric Remnant ◽  
Metal Stent ◽  
Endoscopic Stent ◽  
Gastrogastric Fistula ◽  
Laparoscopic Drainage ◽  
Fistula Treatment

A 25-year-old patient underwent laparoscopic Roux-en-Y gastric bypass surgery with an initially uneventful postoperative course. Two weeks postoperatively, the patient presented with acute abdominal pain. CT scan revealed a gastrogastric fistula from the gastric pouch to the gastric remnant. Laparoscopic drainage was performed, and intraoperative endoscopy confirmed a large gastrogastric fistula. Due to intense adhesions between pouch and remnant, a closure by suture of the fistula was not possible. The fistula was initially treated with a fully covered metal stent. After multiple stent migrations despite clip attachment to the mucosa, the stent was changed to a partially covered metal stent. Fistula healing progress was documented every 2 weeks. After 10 weeks of stent treatment, fistula closure was accomplished.In conclusion, early fistula from the gastric pouch to the gastric remnant is a rare complication and can be managed with endoscopic stent placement.

Gastric Remnant Perforation Caused by Peterson’s Hernia Following One Anastomosis Gastric Bypass: a Rare Complication

2020 ◽  
Vol 30 (8) ◽  
pp. 3229-3232 ◽  
Author(s):  
Noura AlZarooni ◽  
Bassem Abou Hussein ◽  
Omar Al Marzouqi ◽  
Ali Khammas
Keyword(s):  
Gastric Bypass ◽  
Rare Complication ◽  
Gastric Remnant ◽  
One Anastomosis Gastric Bypass

scholarly journals A delayed acute complication: Gastric remnant hemorrhagic ulcer after mini-gastric bypass

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
Hasan Maden ◽  
◽  
Mustafa Şahin ◽  
Akın Çalışır ◽  
Enes Şahin ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Gastric Bypass ◽  
Emergency Service ◽  
Remnant Stomach ◽  
Gastric Remnant ◽  
Mini Gastric Bypass ◽  
Common Procedure ◽  
Acute Bleeding ◽  
Hemorrhagic Ulcer ◽  
Upper Gastrointestinal

Mini-gastric bypass is a common procedure for bariatric surgery. This procedure creates and excluded gastric remnant and this part can’t be accessed easily. Some complications of this gastric remnant has been reported but there is not a reported case of acute bleeding from there. Our report presents and 37 year old woman who had undergone bariatric surgery 6 years ago. Mini-gastric bypass was performed to this patient. The patient comes to the emergency service with signs of upper gastrointestinal bleeding. After hospitalization, examinations showed us that the patient was bleeding from the remnant stomach. The remnant stomach and the first part of the duodenum were resected with laparoscopic surgery. At 6 months followup, the patient has had no further episodes of gastrointestinal hemorrhage. Keywords: Gastric remnant; Hemorrhagic ulcer; Mini-gastric bypass; Red blood cell scintigraphy.

Internal herniation during pregnancy after banded Roux-en-Y gastric bypass: a unique location

2020 ◽  
Vol 13 (12) ◽  
pp. e236798
Author(s):  
Daniëlle Susan Bonouvrie ◽  
Evert-Jan Boerma ◽  
Francois M H van Dielen ◽  
Wouter K G Leclercq
Keyword(s):  
Gastric Bypass ◽  
Small Bowel ◽  
Neonatal Intensive Care ◽  
Postoperative Recovery ◽  
Internal Herniation ◽  
Referral Centre ◽  
Mri Scan ◽  
Tertiary Referral Centre ◽  
Bariatric Complications ◽  
History Of

A 26-year-old multigravida, 30+3 weeks pregnant woman, was referred to our tertiary referral centre with acute abdominal pain and vomiting suspected for internal herniation. She had a history of a primary banded Roux-en-Y gastric bypass (B-RYGB). The MRI scan showed a clustered small bowel package with possible mesenteric swirl diagnosed as internal herniation. A diagnostic laparoscopy was converted to laparotomy showing an internal herniation of the alimentary limb through the silicone ring. The internal herniation was reduced by cutting the silicone ring. Postoperative recovery, remaining pregnancy and labour were uneventful. During pregnancy after B-RYGB, small bowel obstruction can in rare cases occur due to internal herniation through the silicone ring. Education regarding this complication should be provided before bariatric surgery. Treatment of women, 24 to 32 weeks pregnant, in a specialised centre for bariatric complications with a neonatal intensive care unit is advised to improve maternal and neonatal outcome.

scholarly journals Internal hernia following total gastrectomy with Roux-en-Y reconstruction

2011 ◽  
Vol 93 (6) ◽  
pp. e71-e73 ◽  
Author(s):  
JO Larkin ◽  
F Cooke ◽  
N Ravi ◽  
JV Reynolds
Keyword(s):  
Gastric Bypass ◽  
Small Bowel ◽  
Total Gastrectomy ◽  
Internal Hernia ◽  
Bypass Surgery ◽  
Gastric Bypass Surgery ◽  
Postoperative Recovery ◽  
Entire Small Bowel ◽  
History Of ◽  
Swirl Sign

Internal herniation is a well-described complication after a gastric bypass, particularly when performed laparoscopically, although it is rarely described following a total gastrectomy. A 55-year-old lady presented with a 24-hour history of vomiting and rigors 10 months after a radical total gastrectomy with Roux-en-Y reconstruction for a gastric adenocarcinoma. Computed tomography (CT) showed a complete small bowel obstruction and a mesenteric swirl sign, indicating a possible internal hernia. The entire small bowel was found at laparotomy to have migrated through the mesenteric defect adjacent to the site of the previous jejunojejunostomy and was dark purple and aperistaltic. The small bowel was reduced through the defect. At a second laparotomy, the small bowel looked healthy and the defect was repaired. Postoperative recovery was unremarkable. Of numerous signs described, the mesenteric swirl sign is considered the best indicator on CT of an internal hernia following Roux-en-Y reconstruction in gastric bypass surgery. A swirl sign on CT in a patient with abdominal pain should always raise the suspicion of an internal hernia.

scholarly journals 782 A Rare Complication in A Post-Operative Bariatric Patient: COVID-19 Induced Mesenteric Venous Thrombosis

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
J Winstanley ◽  
M Goodfellow
Keyword(s):  
Gastric Bypass ◽  
Abdominal Pain ◽  
Ct Scan ◽  
Acute Abdominal Pain ◽  
Myeloproliferative Neoplasms ◽  
Rare Complication ◽  
Nasopharyngeal Swab ◽  
Thrombotic Complications ◽  
Tract Infections ◽  
Mesenteric Thrombosis

Abstract Introduction The emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has provided enormous challenges in the delivery of surgical care. In addition to respiratory tract infections, coronavirus disease 2019 (COVID-19) is associated with both arterial and venous thrombotic complications. Case Details: We present a case of acute superior mesenteric venous (SMV) thrombosis in a 36-year-old female patient who underwent Roux-en-Y gastric bypass three years previously. Her presentation with acute abdominal pain occurred 6 days after a positive nasopharyngeal swab. An admission CT scan demonstrated an abrupt cut off in the proximal SMV with resultant small bowel oedema. Subsequent thrombophilia screening and mutation testing for myeloproliferative neoplasms were all negative. She had also previously carried three pregnancies to term without any thrombotic complications. Hence, the high suspicion of acute COVID-19 induced mesenteric thrombosis. Conclusions In patients who have previously undergone Rouy-en-Y gastric bypass and lost significant weight, acute abdominal pain normally raises a high suspicion of internal hernia. However, as the pandemic progresses surgeons need to be mindful of COVID-19 induced mesenteric thrombosis as a differential diagnosis during the workup of acute abdominal pain. This was well demonstrated on a CT scan with intravenous contrast.

A rare complication of single anastomosis gastric bypass surgery: perforated marginal ulcer

Chirurgia ◽  
2021 ◽  
Vol 33 (6) ◽  
Author(s):  
Fahed MEREI ◽  
Ronit WITZTUM ◽  
Ibrahim ABU SHAKRA ◽  
Amitai BICKEL ◽  
Kamal KHATIB ◽  
...  
Keyword(s):  
Gastric Bypass ◽  
Bypass Surgery ◽  
Gastric Bypass Surgery ◽  
Rare Complication ◽  
Marginal Ulcer ◽  
Single Anastomosis Gastric Bypass ◽  
Single Anastomosis

Secondary Kwashiorkor: A Rare Complication of Gastric Bypass Surgery

2015 ◽  
Vol 128 (5) ◽  
pp. e1-e2 ◽  
Author(s):  
Jeffrey H. William ◽  
Elliot B. Tapper ◽  
Eric U. Yee ◽  
Simon C. Robson
Keyword(s):  
Gastric Bypass ◽  
Bypass Surgery ◽  
Gastric Bypass Surgery ◽  
Rare Complication
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