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Published in: Obesity Surgery 4/2009

01-04-2009 | Case Report

Small Bowel Obstruction after Laparoscopic Roux-en-Y Gastric Bypass Caused by an Intraluminal Blood Clot

Authors: G. Peeters, T. Gys, T. Lafullarde

Published in: Obesity Surgery | Issue 4/2009

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Abstract

We report a rare case of acute early postoperative small bowel obstruction after laparoscopic Roux-en-Y gastric bypass due to an intraluminal blood clot at the site of the jejuno-jejunostomy. Patient was treated successfully with enterotomy and removal of the clot. A review of literature showed three similar publications.
Literature
1.
go back to reference Hwang RF, Swartz DE, Felix EL. Causes of small bowel obstruction after laparoscopic gastric bypass. Surg Endosc. 2004 Nov;18(11):1631–5.CrossRef Hwang RF, Swartz DE, Felix EL. Causes of small bowel obstruction after laparoscopic gastric bypass. Surg Endosc. 2004 Nov;18(11):1631–5.CrossRef
2.
go back to reference Husain S, Ahmed AR, Johnson J, et al. Small-bowel obstruction after laparoscopic Roux-en-Y gastric bypass etiology, diagnosis, and management. Arch Surg. 2007 Oct;142(10):988–93.CrossRef Husain S, Ahmed AR, Johnson J, et al. Small-bowel obstruction after laparoscopic Roux-en-Y gastric bypass etiology, diagnosis, and management. Arch Surg. 2007 Oct;142(10):988–93.CrossRef
3.
go back to reference Wittgrove AC, Clark GW. Laparoscopic gastric bypass: a five year prospective study of 500 patients followed from 3 to 60 months. Obes Surg. 1999;9:123–43.CrossRef Wittgrove AC, Clark GW. Laparoscopic gastric bypass: a five year prospective study of 500 patients followed from 3 to 60 months. Obes Surg. 1999;9:123–43.CrossRef
4.
go back to reference Higa KD, Boone KB, Ho T. Complications of the laparoscopic Roux-en-Y gastric bypass: 1,040 patients—what have we learned? Obes Surg. 2000;10(6):509–13.CrossRef Higa KD, Boone KB, Ho T. Complications of the laparoscopic Roux-en-Y gastric bypass: 1,040 patients—what have we learned? Obes Surg. 2000;10(6):509–13.CrossRef
5.
go back to reference Schauer PR, Ikramuddin S, Gourash W, et al. Outcomes after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Ann Surg. 2000;232:515–29.CrossRef Schauer PR, Ikramuddin S, Gourash W, et al. Outcomes after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Ann Surg. 2000;232:515–29.CrossRef
6.
go back to reference Champion JK, William M. Small bowel obstruction and internal hernias after laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2003;13:596–600.CrossRef Champion JK, William M. Small bowel obstruction and internal hernias after laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2003;13:596–600.CrossRef
7.
go back to reference Awais O, Raftopoulos I, Luketich D, et al. Acute, complete proximal small bowel obstruction after laparoscopic gastric bypass due to intraluminal blood clot formation. Surg Obes Relat Dis. 2005 Jul–Aug;1(4):418–22; discussion 422–3.CrossRef Awais O, Raftopoulos I, Luketich D, et al. Acute, complete proximal small bowel obstruction after laparoscopic gastric bypass due to intraluminal blood clot formation. Surg Obes Relat Dis. 2005 Jul–Aug;1(4):418–22; discussion 422–3.CrossRef
8.
go back to reference Felsher J, Brodsky J, Brody F. Small bowel obstruction after laparoscopic Roux-enY gastric bypass. Surgery. 2003 Sep;134(3):501–5.CrossRef Felsher J, Brodsky J, Brody F. Small bowel obstruction after laparoscopic Roux-enY gastric bypass. Surgery. 2003 Sep;134(3):501–5.CrossRef
9.
go back to reference Onda M, Urazumi K, Abe R, et al. Obstructive ileus caused by blood clot after emergency total gastrectomy in a patient with hemophilia A: report of a case. Surg Today. 1998;28:1266–9.CrossRef Onda M, Urazumi K, Abe R, et al. Obstructive ileus caused by blood clot after emergency total gastrectomy in a patient with hemophilia A: report of a case. Surg Today. 1998;28:1266–9.CrossRef
10.
go back to reference Jones KB. Biliopancreatic limb obstruction in gastric bypass at or proximal to the jejunojejunostomy: a potentially deadly, catastrophic event. Obes Surg. 1996 Dec;6(6):485–93.CrossRef Jones KB. Biliopancreatic limb obstruction in gastric bypass at or proximal to the jejunojejunostomy: a potentially deadly, catastrophic event. Obes Surg. 1996 Dec;6(6):485–93.CrossRef
11.
go back to reference MacGregor AM. Small bowel obstruction following gastric bypass. Obes Surg. 1992 Nov;2(4):333–9.CrossRef MacGregor AM. Small bowel obstruction following gastric bypass. Obes Surg. 1992 Nov;2(4):333–9.CrossRef
12.
go back to reference Mery CM, Shafi BM, Binyamin G, et al. Profiling surgical 193 staplers: effect of staple height, buttress, and overlap on staple line failure. Surg Obes Relat Dis. 2008 May–Jun;4(3):416–22.CrossRef Mery CM, Shafi BM, Binyamin G, et al. Profiling surgical 193 staplers: effect of staple height, buttress, and overlap on staple line failure. Surg Obes Relat Dis. 2008 May–Jun;4(3):416–22.CrossRef
13.
go back to reference Raman R, Raman B, Raman P, et al. Abnormal findings on routine upper GI series following laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2007 Mar;17(3):311–6.CrossRef Raman R, Raman B, Raman P, et al. Abnormal findings on routine upper GI series following laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2007 Mar;17(3):311–6.CrossRef
Metadata
Title
Small Bowel Obstruction after Laparoscopic Roux-en-Y Gastric Bypass Caused by an Intraluminal Blood Clot
Authors
G. Peeters
T. Gys
T. Lafullarde
Publication date
01-04-2009
Publisher
Springer New York
Published in
Obesity Surgery / Issue 4/2009
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-008-9575-y

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