A Phytobezoar Causing Terminal Ileal Obstruction Following Revision Bariatric Surgery: A Case Report

Bezoars are a rare complication causing small bowel obstruction. A phytobezoar causing terminal ileum obstruction following a Roux-en-Y gastric bypass (RYGB) is extremely rare. A middle-aged woman with post-sleeve gastrectomy weight regain, converted to RYGB, presented 17 months after surgery with o...

Descripción completa

Detalles Bibliográficos
Autores principales: Das, Siddharth Sankar, AbdelAziz, Zaid, Bondok, Walid Zakaria Abdelhamid M, Juma, Farah Ibrahim B, Khatib, Feras Hamid A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
General Surgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10170185/
https://www.ncbi.nlm.nih.gov/pubmed/37181971
http://dx.doi.org/10.7759/cureus.37353
Descripción
Sumario:Bezoars are a rare complication causing small bowel obstruction. A phytobezoar causing terminal ileum obstruction following a Roux-en-Y gastric bypass (RYGB) is extremely rare. A middle-aged woman with post-sleeve gastrectomy weight regain, converted to RYGB, presented 17 months after surgery with obstructive symptoms due to an impacted phytobezoar in the terminal ileum. Diagnostic laparoscopy, enterotomy, and extraction of the large impacted phytobezoar from the terminal ileum relieved the obstruction. Swallowing improperly masticated food in altered gastrointestinal anatomy due to RYGB can cause a phytobezoar in any part of the gastrointestinal tract. These patients need proper nutritional counseling and psychological evaluation to prevent this rare complication.

Ejemplares similares