Published in:
01-04-2010 | Case Report
Failure of Gastric Bypass Following Several Gastrointestinal Hemorrhages
Authors:
Enrico Mozzi, Ezio Lattuada, Marco Antonio Zappa, Ilaria Antonini, Francesco Andreoli, Sara Badiali, Giancarlo Roviaro
Published in:
Obesity Surgery
|
Issue 4/2010
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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.