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Unique long-term simultaneous complications of conventional Roux-en-Y gastric bypass after 27 years: A case report

INTRODUCTION: We report a case of late concomitant complications caused by conventional Roux-en-Y gastric bypaas and its managements. PRESENTATION OF CASE: A 62-year-old male presented 27 years after conventional gastric bypass Y-de-Roux (BGYR) with, sudden, moderate intensity abdominal pain, nausea...

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Autores principales: Uribe, Alejandro Flores, Arévalo, Jorge Alberto González, Contreras, Carlos García, Mendoza, Ricardo Tello, Uribe, Oscar Armando Flores
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9685287/
https://www.ncbi.nlm.nih.gov/pubmed/36434869
http://dx.doi.org/10.1016/j.ijscr.2022.107787
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author Uribe, Alejandro Flores
Arévalo, Jorge Alberto González
Contreras, Carlos García
Mendoza, Ricardo Tello
Uribe, Oscar Armando Flores
author_facet Uribe, Alejandro Flores
Arévalo, Jorge Alberto González
Contreras, Carlos García
Mendoza, Ricardo Tello
Uribe, Oscar Armando Flores
author_sort Uribe, Alejandro Flores
collection PubMed
description INTRODUCTION: We report a case of late concomitant complications caused by conventional Roux-en-Y gastric bypaas and its managements. PRESENTATION OF CASE: A 62-year-old male presented 27 years after conventional gastric bypass Y-de-Roux (BGYR) with, sudden, moderate intensity abdominal pain, nausea, biliary vomiting and hyporexia. Persistent abdominal pain was constant, so a thoracoabdominal tomography was requested by the surgeon. It confirmed the presence of intestinal intussusception associated with lithiasis and cholecystitis. The patient reported having lost 45 kg since the BGYR. He goes to the operating room for definitive management. DISCUSSION: The etiology of post-BGYR intussusception is largely unknown, and multiple hypotheses have been created, such as the iatrogenic stitch created by the suture line in the entero-enteric anastomosis and the most common pattern found is antegrade. The use of contrasted CT as the most reliable diagnostic method. CONCLUSION: The importance of taking into account the possible complications existing in bariatric patients and their frequency gives us the opportunity to suspect and detect them in time and in the most cases the management must be surgical.
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spelling pubmed-96852872022-11-25 Unique long-term simultaneous complications of conventional Roux-en-Y gastric bypass after 27 years: A case report Uribe, Alejandro Flores Arévalo, Jorge Alberto González Contreras, Carlos García Mendoza, Ricardo Tello Uribe, Oscar Armando Flores Int J Surg Case Rep Case Report INTRODUCTION: We report a case of late concomitant complications caused by conventional Roux-en-Y gastric bypaas and its managements. PRESENTATION OF CASE: A 62-year-old male presented 27 years after conventional gastric bypass Y-de-Roux (BGYR) with, sudden, moderate intensity abdominal pain, nausea, biliary vomiting and hyporexia. Persistent abdominal pain was constant, so a thoracoabdominal tomography was requested by the surgeon. It confirmed the presence of intestinal intussusception associated with lithiasis and cholecystitis. The patient reported having lost 45 kg since the BGYR. He goes to the operating room for definitive management. DISCUSSION: The etiology of post-BGYR intussusception is largely unknown, and multiple hypotheses have been created, such as the iatrogenic stitch created by the suture line in the entero-enteric anastomosis and the most common pattern found is antegrade. The use of contrasted CT as the most reliable diagnostic method. CONCLUSION: The importance of taking into account the possible complications existing in bariatric patients and their frequency gives us the opportunity to suspect and detect them in time and in the most cases the management must be surgical. Elsevier 2022-11-23 /pmc/articles/PMC9685287/ /pubmed/36434869 http://dx.doi.org/10.1016/j.ijscr.2022.107787 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Uribe, Alejandro Flores
Arévalo, Jorge Alberto González
Contreras, Carlos García
Mendoza, Ricardo Tello
Uribe, Oscar Armando Flores
Unique long-term simultaneous complications of conventional Roux-en-Y gastric bypass after 27 years: A case report
title Unique long-term simultaneous complications of conventional Roux-en-Y gastric bypass after 27 years: A case report
title_full Unique long-term simultaneous complications of conventional Roux-en-Y gastric bypass after 27 years: A case report
title_fullStr Unique long-term simultaneous complications of conventional Roux-en-Y gastric bypass after 27 years: A case report
title_full_unstemmed Unique long-term simultaneous complications of conventional Roux-en-Y gastric bypass after 27 years: A case report
title_short Unique long-term simultaneous complications of conventional Roux-en-Y gastric bypass after 27 years: A case report
title_sort unique long-term simultaneous complications of conventional roux-en-y gastric bypass after 27 years: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9685287/
https://www.ncbi.nlm.nih.gov/pubmed/36434869
http://dx.doi.org/10.1016/j.ijscr.2022.107787
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