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Obstruction of the Bypassed Stomach Treated with Percutaneous Drainage: An Alternative Treatment for Selected Cases

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Abstract

Biliopancreatic limb obstruction in Roux-en-Y gastric bypass is an infrequent complication that should be recognized early to avoid the risk of peritonitis and death. In this manuscript, we report a case of acute gastric remnant dilatation secondary to intraabdominal hematoma provoked by trocar injury that was compressing the second portion of duodenum lumen. To treat this problem, we decided on a less invasive treatment consisting of percutaneous decompression of the stomach. The procedure was performed using sonographic guidance with local anesthesia, thus, avoiding a new surgical procedure. In this selected case, percutaneous radiological catheter placement provided an effective decompression of the excluded gastric remnant until spontaneous resolution of the obstruction.

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Authors and Affiliations

  1. Department of Gastrointestinal Surgery, Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, Las Palmas, 35016, Spain

    E. M. López-Tomassetti Fernández

  2. Department of Gastrointestinal Surgery, Hospital Universitario de Canarias (University Hospital of Canary Islands), La Laguna, Tenerife, 38320, Spain

    I. Arteaga González, H. Diaz-Luis & A. Carrillo Pallares

  3. Avda Marítima del Sur, s/n. Las Palmas, Las Palmas de Gran Canaria, Las Palmas, 35016, Spain

    E. M. López-Tomassetti Fernández

Authors
  1. E. M. López-Tomassetti Fernández
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  2. I. Arteaga González
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  3. H. Diaz-Luis
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  4. A. Carrillo Pallares
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Corresponding author

Correspondence to E. M. López-Tomassetti Fernández.

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López-Tomassetti Fernández, E.M., Arteaga González, I., Diaz-Luis, H. et al. Obstruction of the Bypassed Stomach Treated with Percutaneous Drainage: An Alternative Treatment for Selected Cases. OBES SURG 18, 233–236 (2008). https://doi.org/10.1007/s11695-007-9246-4

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  • DOI: https://doi.org/10.1007/s11695-007-9246-4

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