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Internal Hernia and Small Bowel Obstruction After Roux-en-Y Gastric Bypass

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Complications in Bariatric Surgery

Abstract

Gastric bypass (RYGB) is considered the gold standard for bariatric surgical procedures. Small bowel obstruction (SBO) after gastric bypass is not uncommon; the internal hernia is the most common etiology followed by adhesions.

Internal hernia can be life-threatening; hence, it is crucial to diagnose and treat it early. Diagnosis can really be challenging, and it entails using different imaging techniques, as well as physical exam.

The management of internal hernia after RYGB remains surgical. The urgency of surgical intervention relies on the clinical condition of the patient. A diagnostic laparoscopy is indicated if clinical suspicion is high enough. An attempt at the time of original operation to reduce these potential complications is important. Closure of peritoneal and mesenteric defects and antecolic positioning of the Roux limb seem to decrease the percentage of internal hernia and other causes of SBO.

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Author information

Authors and Affiliations

  1. Department of General Surgery, University Hospitals, Cleveland Medical Center, Cleveland, OH, USA

    Adel Alhaj Saleh & Mujjahid Abbas

  2. Department of Surgery, Texas Tech University Health Sciences Center, Lubbock, Texas, USA

    Adel Alhaj Saleh

Authors
  1. Adel Alhaj Saleh
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  2. Mujjahid Abbas
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Editor information

Editors and Affiliations

  1. Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York, USA

    Diego Camacho

  2. Department of General Surgery, FIU Herbert Wertheim College of Medicine, Miami, Florida, USA

    Natan Zundel

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Alhaj Saleh, A., Abbas, M. (2018). Internal Hernia and Small Bowel Obstruction After Roux-en-Y Gastric Bypass. In: Camacho, D., Zundel, N. (eds) Complications in Bariatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-75841-1_13

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  • DOI: https://doi.org/10.1007/978-3-319-75841-1_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-75840-4

  • Online ISBN: 978-3-319-75841-1

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