Abstract
References
- 1. Iranmanesh P, Manisundaran NV, Bajwa KS, Thosani NC, Felinski MM, Wilson EB, et al. Management of acute gastric remnant complications after Roux-en-Y gastric bypass: a single-center case series. Obesy Surg 2020;30:2637-41.
- 2. Arshava EV, Mitchell C, Thomsen T, Wilkinson NW. Delayed perforation of the defunctionalized stomach after Roux-en-Y gastric bypass surgery. Surg Obes Relat Dis 2006;2:472-6; discussion 476-7.
- 3. Ovaere S, Tse WHW, Schipper EE, Spanjersberg WR. Perforation of the gastric remnant in a patient post-Roux-en-Y gastric bypass. BMJ Case Rep 2016;2016.bcr2015213862.
- 4. Mahin HH, Sarofim M, Lim CS. Necrotic excluded gastric remnant post gastric bypass: a rare fatal complication. Cureus 2020;12:e11559.
- 5. Ebrahimi R, Kermansaravi M, Eghbali F, Pazouki A. Gastric remnant perforation due to trocar site herniation after laparoscopic Roux-en-Y gastric bypass. Ann R Coll Surg Engl 2019;101:e88-90.
Abstract
Roux-en-Y gastric bypass (RYGB), one of the most frequently performed operations within the scope of bariatric surgery, creates a remnant stomach containing the fundus, corpus and antrum where gastric acid and pepsinogen are synthesized in significant amounts. Although rare complications such as bleeding, perforation and ischemia occur regarding the remnant stomach. A 47-year-old male patient who was operated on for open RYGB 10 years ago was admitted to the emergency department with complaints of abdominal pain and deterioration in his general condition. The patient who had widespread tenderness in the abdomen was unstable on physical examination. It was observed that the remnant stomach was perforated 2.2 cm from the anterior surface of the corpus at emergency laparotomy after defining the upper gastrointestinal anatomy with the aid of peroperative endoscopy. The patient whose remnant stomach was resected was discharged uneventfully on the 5th postoperative day. The approach to remnant gastric perforations due to benign causes is the same as for gastric perforations. Laparotomy is indicated in unstable patients.
References
- 1. Iranmanesh P, Manisundaran NV, Bajwa KS, Thosani NC, Felinski MM, Wilson EB, et al. Management of acute gastric remnant complications after Roux-en-Y gastric bypass: a single-center case series. Obesy Surg 2020;30:2637-41.
- 2. Arshava EV, Mitchell C, Thomsen T, Wilkinson NW. Delayed perforation of the defunctionalized stomach after Roux-en-Y gastric bypass surgery. Surg Obes Relat Dis 2006;2:472-6; discussion 476-7.
- 3. Ovaere S, Tse WHW, Schipper EE, Spanjersberg WR. Perforation of the gastric remnant in a patient post-Roux-en-Y gastric bypass. BMJ Case Rep 2016;2016.bcr2015213862.
- 4. Mahin HH, Sarofim M, Lim CS. Necrotic excluded gastric remnant post gastric bypass: a rare fatal complication. Cureus 2020;12:e11559.
- 5. Ebrahimi R, Kermansaravi M, Eghbali F, Pazouki A. Gastric remnant perforation due to trocar site herniation after laparoscopic Roux-en-Y gastric bypass. Ann R Coll Surg Engl 2019;101:e88-90.
Details
| Primary Language | English |
|---|---|
| Subjects | Surgery |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | November 4, 2022 |
| Submission Date | December 19, 2021 |
| Acceptance Date | June 8, 2022 |
| Published in Issue | Year 2022 Volume: 8 Issue: 6 |
