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Late Perforation of the Distal Roux-en-Y Anastomosis in a Patient with Biliopancreatic Diversion
Authors:Phil L Anderson MD  Vic Velanovich MD  Christoph R Kaufman MD  MPH  Preston L Carter MD
Affiliation:(1) General Surgery Service, Department of Surgery, Madigan Army Medical Center, Tacoma, WA 98431, USA;(2) General Surgery Service, Department of Surgery, Madigan Army Medical Center, Tacoma, WA 98431, USA;(3) General Surgery Service, Department of Surgery, Madigan Army Medical Center, Tacoma, WA 98431, USA;(4) General Surgery Service, Department of Surgery, Madigan Army Medical Center, Tacoma, WA 98431, USA
Abstract:A 38-year-old female with a history of biliopancreatic diversion for morbid obesity developed a perforation at the distal Roux-en-Y anastomosis 13 months after the original surgery. The etiology of this complication was not determined. Perforation of a Roux-en-Y anastomosis occurring this late in the postoperative period has not been described previously.
Keywords:Biliopancreatic diversion  bowel perforation  complications  morbid obesity  Roux-en-Y gastroenterostomy  surgery
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