International journal of surgery case reports · 2014
Blood bezoar causing obstruction after laparoscopic Roux-en-Y gastric bypass.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Pazouki Abdolreza, Pakaneh Mohamadali, Khalaj Alireza, Tamannaie Zeinab, Jangjoo Ali, Shapoori Parvin, Kalhor Mohsen
Аннотация
INTRODUCTION: Bowel obstruction is a known complication after bariatric surgery especially Roux-en-Y gastric bypass. The known etiologies include internal hernia, jejunojejunostomy stricture, ileus, intussusceptions, superior mesenteric artery syndrome, incarcerated port site hernia, and adhesions. Blood bezoar is a rare cause of small intestinal obstruction after Roux-en-Y gastric bypass.
PRESENTATION OF CASE: We are going to present two cases of small bowel obstruction after Roux-en-Y gastric bypass due to blood bezoar.
DISCUSSION: Blood clot as the etiology of small bowel obstruction after Roux-en-Y gastric bypass is an unusual event. In the presence of postoperative small intestinal obstruction an obstructive blood bezoar should be in differential diagnosis. As any other etiology of postoperative obstruction it should be treated immediately to prevent its adverse lethal complications.
CONCLUSION: The best way for prevention of blood bezoar is prevention of bleeding at staple line and doing hemostasis at stapler line.
PRESENTATION OF CASE: We are going to present two cases of small bowel obstruction after Roux-en-Y gastric bypass due to blood bezoar.
DISCUSSION: Blood clot as the etiology of small bowel obstruction after Roux-en-Y gastric bypass is an unusual event. In the presence of postoperative small intestinal obstruction an obstructive blood bezoar should be in differential diagnosis. As any other etiology of postoperative obstruction it should be treated immediately to prevent its adverse lethal complications.
CONCLUSION: The best way for prevention of blood bezoar is prevention of bleeding at staple line and doing hemostasis at stapler line.