Document Detail

Small bowel ischemia after Roux-en-Y gastric bypass complicated by pregnancy: a case report.
MedLine Citation:
PMID:  15869139     Owner:  NLM     Status:  MEDLINE    
Small bowel obstruction is an unusual complication of pregnancy. Its occurrence after Roux-en-Y gastric bypass (RYGB) for morbid obesity complicated by pregnancy is rare. Morbid obesity describes body weight at least 100 lb over the ideal weight, or a body mass index (BMI) > or = 40. Surgery offers the only viable treatment option with long-term weight loss and maintenance. This case report involves a 23-year-old female at 25 weeks gestation with a 1-day history of diffuse abdominal pain and vomiting. She had a RYGB with a 15 cc micropouch 6 months prior to the commencement of this pregnancy. All radiologic investigations were normal. Esophagogastroscopy was performed revealing an ischemic Roux limb of the gastric bypass. At laparotomy, an internal hernia involving the afferent limb was identified at the site of the Roux anastomosis compromising portions of both the afferent and Roux limbs. Nonviable portions of both the afferent and Roux limbs were resected. Gastrointestinal continuity was achieved by fashioning a gastro-gastrostomy and a jejuno-jejunostomy, thus reversing the original gastric bypass procedure. The immediate postoperative period was complicated by fetal demise. With the increase in bariatric surgery, small bowel ischemia after Roux-en-Y gastric bypass will most likely become more prevalent, particularly in women of childbearing age.
Anthony Charles; Shirley Domingo; Aaron Goldfadden; Jason Fader; Richard Lampmann; Robert Mazzeo
Related Documents :
5112169 - Movement of segmental constrictions in the human colon.
8951139 - Intrapartum amniotic fluid index. a poor diagnostic test for adverse perinatal outcome.
9076919 - Postpartum mummification of a co-twin fetus in a cameroon dwarf goat doe.
480319 - A high incidence of abdominal pregnancy in the djungarian hamster (phodopus sungorus).
12423809 - Gastric rupture associated with pregnancy.
11260549 - A woman with umbilical inflammation continuing for 9 years after delivery.
1846069 - Impetigo herpetiformis associated with hypocalcemia of congenital rickets.
25006479 - Fetal head position during the first stage of labor: comparison between vaginal examina...
15124189 - Placental thickness in the first half of pregnancy.
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  71     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  2005 Mar 
Date Detail:
Created Date:  2005-05-04     Completed Date:  2005-06-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  231-4     Citation Subset:  IM    
Department of Surgery, St. Joseph Mercy Hospital, Ann Arbor, Michigan, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Abdominal Pain / diagnosis,  etiology
Anastomosis, Roux-en-Y / adverse effects
Follow-Up Studies
Gastric Bypass / adverse effects*,  methods
Gestational Age
Intestine, Small / blood supply*,  surgery
Ischemia / diagnosis*,  etiology,  surgery
Laparotomy / methods
Obesity, Morbid / diagnosis,  surgery*
Pregnancy Complications / diagnosis*,  surgery
Pregnancy Outcome
Risk Assessment

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  A fatal case of necrotizing fasciitis caused by Serratia marcescens.
Next Document:  Significance of the effective remnant liver volume in major hepatectomies.