Small Bowel Obstruction and Internal Hernias during Pregnancy after Gastric Bypass Surgery
First Online: 02 October 2008 Received: 02 June 2008 Accepted: 02 September 2008 DOI:
10.1007/s11695-008-9681-x Cite this article as: Torres-Villalobos, G.M., Kellogg, T.A., Leslie, D.B. et al. OBES SURG (2009) 19: 944. doi:10.1007/s11695-008-9681-x Abstract
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.
Keywords Gastric bypass Internal hernia Pregnancy Bariatric surgery Laparoscopic Morbid obesity Small bowel obstruction References
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