Abstract
Gastrointestinal hemorrhage is an infrequent major complication of gastric bypass. We present a 22-year-old morbidly obese man who underwent a laparoscopic Roux-en-Y gastric bypass and had several life-threatening hemorrhages from both the gastric pouch and gastric remnant, associated with an intra-abdominal hemorrhage. The patient underwent two subsequent reoperations, leading eventually to gastrectomy. The possibility to discover all the sources of bleeding after gastric bypass is discussed, and the adoption of a modification of the procedure that allows the investigation of the excluded stomach is suggested.
References
Nguyen NT, Longoria M, Chalifoux S, Samuel E, Wilson MD. Gastrointestinal hemorrhage after laparoscopic gastric bypass. Obes Surg. 2004;14:1308–12.
Schauer P, Sayeed I, Gouran W, Ramanathan R, Luketich J. Outcomes after laparoscopic Roux-en-Y Gastric bypass for morbid obesity. Ann Surg. 2000;232(4):515–29. October.
Podnos YD, Jimenez JC, Wilson SE, Stevens CM, Nguyen NT. Complications after laparoscopic gastric bypass: a review of 3464 cases. Arch Surg. 2003;138(9):957–61.
Papasavas PK, Hayetian FD, Landreneau RJ, Maurer J, Keenan RJ, Quinlin RF, Gagne DJ. Outcome analysis of laparoscopic Roux-en-Y gastric bypass for morbid obesity. Surg Endosc. 2002;16:1653–7.
Nguyen NT, Rivers R, Wolfe BM. Early gastrointestinal hemorrhage after laparoscopic gastric bypass. Obes Surg. 2003;13:62–5.
Jamil LH, Krause KR, Chengelis DL, Jury RP, Jackson CM, Cannon ME, Duffy MC. Endoscopic management of early upper gastrointestinal hemorrhage following laparoscopic Roux-en-Y gastric bypass. Am J Gastroenter. 2008;103(1):86–91.
Braley SC, Nguyen NT, Wolfe BM. Late gastrointestinal hemorrhage after gastric bypass. Obes Surg. 2002;12:404–7.
Helling TS. The lethality of obstructing hematoma at the jejunojejunostomy following Roux-en-Y Gastric Bypass. Obes Surg. 2005;15:290–3.
Mehran A, szomstein S, Zundel N, Rosenthal R. Management of acute bleeding after laparoscopic Roux-en Y gastric bypass. Obes Surg 2003;13:842–7.
Cariani S, Amenta E. Three-year results of Roux-en-Y gastric bypass-on-vertical banded gastroplasty: an effective and safe procedure which enables endoscopy and X-ray study of the stomach and biliary tract. Obes Surg. 2007;17:1312–8.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Mozzi, E., Lattuada, E., Zappa, M.A. et al. Failure of Gastric Bypass Following Several Gastrointestinal Hemorrhages. OBES SURG 20, 523–525 (2010). https://doi.org/10.1007/s11695-008-9629-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11695-008-9629-1