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The Tethered Bezoar as a Delayed Complication of Laparoscopic Roux-en-Y Gastric Bypass: A Case Report

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Abstract

Known complications of Roux-en-Y gastric bypass causing abdominal pain and obstructive symptoms include biliary colic, anastomotic ulcer, anastomotic stenosis, or internal hernia. This case report describes a new complication in a patient 15 months post-bypass: a bezoar at the gastrojejunal anastomosis, the nidus of which was a length of permanent suture material which had eroded through the gastric wall. We include endoscopic images of the bezoar, a review of the related gastric bypass literature, and describe the changes made in our practice as a result of this complication.

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Authors and Affiliations

  1. Department of Surgery, Massachusetts General Hospital, 15 Parkman Street, WACC suite 460, Boston, MA, 02114, USA

    Janey S. A. Pratt & Emily Christison-Lagay

  2. Department of Surgery, Kaiser Permanente, Vallejo Medical Center, 975 Sereno Drive, Vallejo, CA, 94589, USA

    Michael Van Noord

Authors
  1. Janey S. A. Pratt
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  2. Michael Van Noord
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  3. Emily Christison-Lagay
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Correspondence to Janey S. A. Pratt.

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Pratt, J.S.A., Van Noord, M. & Christison-Lagay, E. The Tethered Bezoar as a Delayed Complication of Laparoscopic Roux-en-Y Gastric Bypass: A Case Report. J Gastrointest Surg 11, 690–692 (2007). https://doi.org/10.1007/s11605-007-0098-y

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  • DOI: https://doi.org/10.1007/s11605-007-0098-y

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