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Taiwan J Obstet Gynecol. 2007 Sep;46(3):267-71.

Strangulation of upper jejunum in subsequent pregnancy following gastric bypass surgery.

Author information

1
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Chia Yi, Taiwan. brien@ms23.hinet.net

Abstract

OBJECTIVE:

Gastric bypass is a surgical procedure that is popularly used to treat morbid obesity. Herein, we report a woman who had a rare gastrointestinal complication during the subsequent antepartum period following a gastric bypass surgery.

CASE REPORT:

After a Roux-en-Y gastric bypass surgery, a 32-year-old woman had unrelenting epigastria for one week at 36 weeks' gestation. An emergency cesarean delivery, followed by laparotomy, was performed. A female neonate was delivered with Apgar scores of 8 and 9 at 1 and 5 minutes, respectively. Strangulation and gangrene of the upper jejunum caused by a fibrous band at the site of the Roux anastomosis were revealed. Segmental resection of the nonviable bowel was performed. The patient experienced a smooth postoperative course.

CONCLUSION:

The awareness of internal hernias and small bowel strangulation should be addressed when unrelenting epigastric pain is present in women after Roux-en-Y gastric bypass surgery, during their first subsequent pregnancy.

PMID:
17962108
DOI:
10.1016/S1028-4559(08)60032-7
[Indexed for MEDLINE]
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