Abstract
Gastrointestinal bleeding following Roux-en- Y gastric bypass (RYGB) is rare. We report an unusual cause of upper gastrointestinal bleeding following RYGB that was complicated by porto- splenic vein thrombosis. A 35- year- old woman was successfully treated by mesocaval surgical shunt for recurrent variceal hemorrhage in the excluded stomach following RYGB.
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Azagury, D.E., et al., Marginal ulceration after Roux-en-Y gastric bypass surgery: characteristics, risk factors, treatment, and outcomes. Endoscopy, 2011. 43(11): p. 950–4.
Manzano-Robleda Mdel, C., et al., Portal vein thrombosis: what is new? Ann Hepatol, 2015. 14(1): p. 20–7.
Goitein, D., et al., Portomesenteric thrombosis following laparoscopic bariatric surgery: incidence, patterns of clinical presentation, and etiology in a bariatric patient population. JAMA Surg, 2013. 148(4): p. 340–6.
Rottenstreich, A., R. Elazary, and Y. Kalish, Abdominal thrombotic complications following bariatric surgery. Surg Obes Relat Dis, 2016.
Murr, M., et al., Overview of emerging concepts in metabolic surgery. Perm J, 2010. 14(3): p. 57–62.
Podnos, Y.D., et al., Complications after laparoscopic gastric bypass: a review of 3464 cases. Arch Surg, 2003. 138(9): p. 957–61.
Issa, H., et al., Bleeding duodenal ulcer after Roux-en-Y gastric bypass surgery: the value of laparoscopic gastroduodenoscopy. Ann Saudi Med, 2010. 30(1): p. 67–9.
Sun, C., et al., Metastatic adenocarcinoma of the gastric pouch 5 years after Roux-en-Y gastric bypass. Obes Surg, 2008. 18(3): p. 345–8.
Upadhyaya, P.K., et al., Delayed rupture of a splenic artery pseudoaneurysm after biliopancreatic diversion. Obes Surg, 2008. 18(7): p. 890–2.
Sanchez Antunez, D.J., N.C. Fernandez, and J.O. Serrano, Unusual case of upper gastrointestinal bleeding after laparoscopic gastric bypass: erosion of gastric remnant involving a diaphragmatic vessel. Surg Obes Relat Dis, 2011. 7(3): p. 328–9.
Zerey, M., et al., Bleeding duodenal ulcer after Roux-en-Y gastric bypass surgery. J Am Osteopath Assoc, 2008. 108(1): p. 25–7.
Cartabuke, R.H., et al., A rare cause of gastro-intestinal hemorrhage in a patient with a Roux-en-Y gastric bypass. Gastroenterol Rep (Oxf), 2016. 4(1): p. 84–6.
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Anurag Shrimal: contributed to concept and analysis, drafting of the paper, final approval of paper and agrees to be accountable for all aspects the work.
Ranjan Sudan: contributed to concept and analysis, drafting of the paper, final approval of paper and agrees to be accountable for all aspects of the work.
Gaurav Chaubal: contributed to concept, drafting of the paper, final approval of paper and agrees to be accountable for all aspects of the work.
Ahmad Zaaroura: contributed to concept and analysis, drafting of the paper, final approval of paper and agrees to be accountable for all aspects of the work.
Kitza Williams: contributed to concept, drafting of the paper, final approval of paper and agrees to be accountable for all aspects of the work.
Kadiyala Ravindra: contributed to concept and analysis, drafting of the paper, final approval of paper and agrees to be accountable for all aspects of the work.
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Shrimal, A., Sudan, R., Chaubal, G. et al. Report of Mesocaval Shunt in the Management of Variceal Hemorrhage Following Gastric Bypass Surgery. J Gastrointest Surg 21, 1742–1745 (2017). https://doi.org/10.1007/s11605-017-3450-x
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DOI: https://doi.org/10.1007/s11605-017-3450-x