Journal Article

Acute small bowel obstruction following laparoscopic Roux-en-Y gastric bypass during pregnancy: two different presentations

G Tuyeras, E Pappalardo and S Msika

in Journal of Surgical Case Reports

Published on behalf of JSCR Publishing Ltd

Volume 2012, issue 7, pages 1-1
Published in print July 2012 |
Published online July 2012 | e-ISSN: 2042-8812 | DOI: http://dx.doi.org/10.1093/jscr/2012.7.1

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Bariatric surgery as laparoscopic Roux-en-Y gastric bypass (LRYGB) is increasing throughout the world and women represent the majority (70%) of patients. Most of them are of reproductive age. As a consequence, surgeons will have to treat more and more pregnant patients with a history of LRYGB for surgical abdominal pain. Reported incidence of small bowel obstruction (SBO) varies from 1.5% to 3.5% after LRYGB including internal hernias, intussusception and volvulus. As two cases of maternal postoperative death have been reported in the literature, diagnosis and surgical treatment shouldn’t be delayed especially during pregnancy. To underline the necessity of a rapid diagnosis and surgical treatment, we reported two cases of severe SBO during pregnancy.

Journal Article.  1232 words.  Illustrated.

Subjects: Bariatric Surgery

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