Intestinal Obstruction after Roux-en-y Gastric Bypass by Higa’s Technique for Treatment of Morbid Obesity: Radiological Aspects*

نویسندگان

  • Ester Moraes Labrunie
  • Edson Marchiori
چکیده

OBJECTIVE: The aim of this study is to describe the main radiological aspects of postoperative intestinal obstruction in patients submitted to Roux-en-Y gastric bypass by means of the Higa’s technique. MATERIALS AND METHODS: A total of 10 patients presenting with postoperative intestinal obstruction following a gastric reduction procedure were evaluated in the period between November 2001 and April 2006, in seven different medical centers. RESULTS: In the ten patients, the obstruction occurred in the small bowel, five of them because of internal hernias, three because of adhesions, one because of an umbilical hernia and one because of intussusception. Four patients presented obstruction early in the postoperative period (by the seventh post-op day), and six, late in the postoperative period (between the third month and the fifth year). CONCLUSION: All of the cases of intestinal obstruction were found in the small bowel. Internal hernia was the most frequent cause, followed by adhesion. Other causes included umbilical hernia and intussusception.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Anastomotic leaks after Roux-en-Y gastric bypass surgery by Higa’s technique for treatment of morbid obesity: radiological findings*

OBJECTIVE: The present study was aimed at describing main radiological findings in patients who developed leaks as a complication of Roux-en-Y gastric bypass surgery by the Higa’s technique. MATERIALS AND METHODS: Twenty-four patients with post-gastric bypass anastomotic leaks were evaluated by means of computed tomography or gastrointestinal series. RESULTS: Leaks of superior anastomoses gener...

متن کامل

Rare case of concurrent intussusception and volvulus after Roux-en-Y gastric bypass for morbid obesity

Gastric bypass patients are at risk for small-bowel obstruction secondary to adhesions, internal hernias, intussusception and volvulus. Most gastric bypass patients do not present with classic obstructive symptoms. We present a rare case of concurrent intussusception and volvulus in a woman with previous history of internal hernia following laparoscopic Roux-en-Y gastric bypass surgery.

متن کامل

Cost-effectiveness of Laparoscopic Sleeve Gastrectomy and Laparoscopic Roux-en-Y Gastric Bypass in Patients with Morbid Obesity: A Systematic Review

Cost-effectiveness of Laparoscopic Sleeve Gastrectomy and Laparoscopic Roux-en-Y Gastric Bypass in Patients with Morbid Obesity: A Systematic Review Talebianpour Hamid1, Shahab Alizadeh2*   1. Ph.D. Student, School of Public Health, Department of Management Sciences and Health Economics, Tehran University of Medical Sciences, Tehran, Iran 2. Ph.D. Student, Faculty of Nutrition and Dietetic...

متن کامل

Re-do Roux-en-Y Gastric Bypass in a Patient with Known Midgut Malrotation

A 40-year-old woman presented with small bowel obstruction caused by an internal hernia through Peterson's defect. The patient was known to have midgut malrotation (MM) and also had laparoscopic Roux-en-Y gastric bypass for morbid obesity 6 years prior. An open revision of Roux-en-Y gastric bypass was performed as a result of ischemia of alimentary limb. She made a slow but uneventful recovery ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2007