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Drain-Associated Intestinal Obstruction after Laparoscopic Gastric Bypass
Authors:Ann M. Rogers MD   FACS  Jovenel Cherenfant MD  Seth Kipnis MD  Randy S. Haluck MD   FACS
Affiliation:(1) Department of Surgery, Penn State Milton S. Hershey Medical Center, Hershey, PA, USA;(2) Department of Surgery, Division of Minimally Invasive and Bariatric Surgery, Penn State Milton S. Hershey Medical Center, 500 University Drive, Suite C-4628, PO Box 850 MC H149, Hershey, PA 17036, USA
Abstract:
A rare cause of intestinal obstruction after laparoscopic Roux-en-Y gastric bypass (RYGBP) is reported. A 42-year-old woman developed nausea, vomiting and dilated loops of small bowel upon commencing oral intake the day after RYGBP surgery. A CT scan demonstrated a loop of bowel twisting around the abdominal drainage catheter. After removal of the catheter, the patient’s symptoms immediately resolved and her subsequent course was uneventful. We suggest avoidance of drainage catheters after uncomplicated laparoscopic RYGBP.
Keywords:Morbid obesity  bariatric surgery  laparoscopy  gastric bypass  intestinal obstruction  abdominal drains
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