Internal Hernia After Laparoscopic One-Anastomosis (Mini) Gastric Bypass: Video Case Series of a Single-Center Experience.

Bariatric surgery complications Case report Case series Internal hernia Mini-gastric bypass One-anastomosis gastric bypass Petersen’s hernia

Journal

Obesity surgery
ISSN: 1708-0428
Titre abrégé: Obes Surg
Pays: United States
ID NLM: 9106714

Informations de publication

Date de publication:
06 2021
Historique:
received: 21 12 2020
accepted: 16 03 2021
revised: 04 03 2021
pubmed: 1 4 2021
medline: 21 5 2021
entrez: 31 3 2021
Statut: ppublish

Résumé

Internal hernia (IH) after one-anastomosis gastric bypass (OAGB) was thought to have an extremely low incidence. In this video, we report three cases of post-OAGB symptomatic internal herniation. The first case is a 45-year-old female who presented 4 months after her OAGB with crampy abdominal pain and reflux symptoms. An exploratory laparoscopy showed Petersen's hernia; the hernia was reduced with no ischemia and the defect was closed. The second case is a 40-year-old male who presented 7 months after his surgery with abdominal pain and reflux. An exploratory laparoscopy showed Petersen's hernia; bowel was reduced and defect was closed through a laparotomy. The third case is a 64-year-old male who presented with refractory biliary reflux after OAGB. An elective diagnostic laparoscopy showed Petersen's hernia; the hernia was reduced and defect was closed. All patients recovered well with no recurrence of symptoms on follow-up. Internal hernia after OAGB is more common than the reported incidence. The threshold for diagnostic laparoscopy should be lowered for a OAGB patient with symptoms suggestive of IH.

Identifiants

pubmed: 33788159
doi: 10.1007/s11695-021-05362-5
pii: 10.1007/s11695-021-05362-5
doi:

Types de publication

Case Reports Journal Article Video-Audio Media

Langues

eng

Sous-ensembles de citation

IM

Pagination

2839-2840

Références

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Auteurs

Alwahhaj Khogeer (A)

Department of Bariatric and Metabolic Surgery, University College London Hospitals, London, UK.
Department of Bariatric Surgery, Specialized Surgery Center, King Abdullah Medical City, Mecca, Saudi Arabia.

Andrei Ilczyszyn (A)

Department of Bariatric and Metabolic Surgery, University College London Hospitals, London, UK.

Marco Adamo (M)

Department of Bariatric and Metabolic Surgery, University College London Hospitals, London, UK.

Mohamed Elkalaawy (M)

Department of Bariatric and Metabolic Surgery, University College London Hospitals, London, UK. Mohamed.elkalaawy@nhs.net.

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