A paradoxical internal hernia at Brolin’s anti-obstruction stitch following Roux-en-Y gastric bypass: a case report

Internal hernias are a rare but morbid complication following Roux-en-Y gastric bypass surgery. The incorporation of Brolin’s anti-obstruction stitch has historically demonstrated a significant reduction in the incidence of internal hernias following Roux-en-Y gastric bypass. We present an ironic an...

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Detalles Bibliográficos
Autores principales: Patel, Krishna, Serapiglia, Vinnie, Rizzo, Anthony N, Varre, Jaya, Sonnanstine, Thomas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10587004/
https://www.ncbi.nlm.nih.gov/pubmed/37867920
http://dx.doi.org/10.1093/jscr/rjad554
Descripción
Sumario:Internal hernias are a rare but morbid complication following Roux-en-Y gastric bypass surgery. The incorporation of Brolin’s anti-obstruction stitch has historically demonstrated a significant reduction in the incidence of internal hernias following Roux-en-Y gastric bypass. We present an ironic and unique case of a patient with small bowel herniation into a defect between Brolin’s stitch and the stapled closed common enterotomy of the jejunojejunostomy and technical considerations to decrease internal hernias at this site in the future.

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