Laparoscopic gastric bypass complicated by gastric pouch necrosis: considerations in gastroesophageal reconstruction |
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Authors: | Brian K Rundall Chadrick E Denlinger Gene P Parrino Eugene F Foley David R Jones |
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Institution: | (1) Department of Surgery, University of Virginia School of Medicine, Charlottesville, Virginia;(2) Department of Surgery, University of Virginia, P.O. Box 800679, 22908-0679 Charlottesville, VA |
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Abstract: | Gastric pouch necrosis and intraabdominal sepsis is an uncommon complication following laparoscopic gastric bypass. The intraoperative
management of this complication centers on resection of the necrotic pouch, esophageal diversion, drainage, and enteral access
for nutrition. Reestablishing gastrointestinal continuity at a later surgery following this complication can be challenging.
We present a case in which the colon was found to be unacceptable for use in reconstruction; the remaining stomach was used
as the conduit for a transhiatal reconstruction of gastrointestinal continuity instead. |
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Keywords: | Laparoscopic gastric bypass esophageal discontinuity |
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