Small Bowel Obstruction and Internal Hernias during Pregnancy after Gastric Bypass Surgery

Gonzalo M. Torres-Villalobos, Todd A. Kellogg, Daniel B. Leslie, Gintaras Antanavicius, Rafael S. Andrade, Bridget Slusarek, Tracy L. Prosen, Sayeed Ikramuddin

Research output: Contribution to journalArticlepeer-review

31 Scopus citations

Abstract

Small bowel obstruction (SBO) is a recognized complication of Roux-en-Y gastric bypass (RYGB) surgery. Internal hernia (IH) a potential problem associated with RYGB, can have severe consequences if not diagnosed. We present two cases of SBO due to IH during pregnancy after laparoscopic RYGB (LRYGB). Both patients underwent an antecolic, antegastric LRYGB. In both patients a Petersen's type IH was found. We reviewed the cases reported in the literature of SBO during pregnancy after RYGB. IH should always be ruled out in pregnant patients with previous RYGB and abdominal pain. Prompt surgical intervention is mandatory for a good outcome.

Original languageEnglish (US)
Pages (from-to)944-950
Number of pages7
JournalObesity Surgery
Volume19
Issue number7
DOIs
StatePublished - Jul 1 2009

Keywords

  • Bariatric surgery
  • Gastric bypass
  • Internal hernia
  • Laparoscopic
  • Morbid obesity
  • Pregnancy
  • Small bowel obstruction

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