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Double Closed Loop Obstruction and Perforation in a Previous Roux-en-Y Gastric Bypass |
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| Authors: | Eric J Keyser MD Najma A Ahmed MD PhD Brian D Mott MD Jean Tchervenkov MD FRCS |
| Affiliation: | (1) Department of Surgery, Division of General Surgery, McGill University Hospital Center, Montreal, Quebec, Canada;(2) Department of Surgery, Division of General Surgery, McGill University Hospital Center, Montreal, Quebec, Canada;(3) Department of Surgery, Division of General Surgery, McGill University Hospital Center, Montreal, Quebec, Canada;(4) Department of Surgery, Division of General Surgery, McGill University Hospital Center, Montreal, Quebec, Canada |
| Abstract: | A healthy 45-year-old woman with a previous Rouxen-Y gastric bypass presented with the signs, symptoms and blood analysis results consistent with acute pancreatitis. She was initially treated nonoperatively and subsequently went into circulatory shock. Computerized tomographic scan and exploratory laparotomy revealed a volvulus of the afferent jejunal limb with secondary obstruction, necrosis, and perforation of the bypassed stomach. |
| Keywords: | Gastric bypass intestinal obstruction morbid obesity surgical complications volvulus |
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