Obes Surg. 2010 Apr;20(4):523-5. Epub 2008 Jul 19.

Failure of gastric bypass following several gastrointestinal hemorrhages.

Mozzi E, Lattuada E, Zappa MA, Antonini I, Andreoli F, Badiali S, Roviaro G.

Source

Fondazione Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena IRCCS, Università di Milano, Milan, Italy. enrico.mozzi@unimi.it

Abstract

Gastrointestinal hemorrhage is an infrequent major complication of gastric bypass. We present a 22-year-old morbidly obese man who underwent a laparoscopic Roux-en-Y gastric bypass and had several life-threatening hemorrhages from both the gastric pouch and gastric remnant, associated with an intra-abdominal hemorrhage. The patient underwent two subsequent reoperations, leading eventually to gastrectomy. The possibility to discover all the sources of bleeding after gastric bypass is discussed, and the adoption of a modification of the procedure that allows the investigation of the excluded stomach is suggested.

PMID:: 18642052; [PubMed - indexed for MEDLINE]

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