Advertisement

Obesity Surgery

, Volume 19, Issue 4, pp 521–523 | Cite as

Small Bowel Obstruction after Laparoscopic Roux-en-Y Gastric Bypass Caused by an Intraluminal Blood Clot

  • G. PeetersEmail author
  • T. Gys
  • T. Lafullarde
Case Report

Abstract

We report a rare case of acute early postoperative small bowel obstruction after laparoscopic Roux-en-Y gastric bypass due to an intraluminal blood clot at the site of the jejuno-jejunostomy. Patient was treated successfully with enterotomy and removal of the clot. A review of literature showed three similar publications.

Keywords

Gastric bypass Obstruction Closed loop obstruction Jejunojejunostomy 

References

  1. 1.
    Hwang RF, Swartz DE, Felix EL. Causes of small bowel obstruction after laparoscopic gastric bypass. Surg Endosc. 2004 Nov;18(11):1631–5.CrossRefGoogle Scholar
  2. 2.
    Husain S, Ahmed AR, Johnson J, et al. Small-bowel obstruction after laparoscopic Roux-en-Y gastric bypass etiology, diagnosis, and management. Arch Surg. 2007 Oct;142(10):988–93.CrossRefGoogle Scholar
  3. 3.
    Wittgrove AC, Clark GW. Laparoscopic gastric bypass: a five year prospective study of 500 patients followed from 3 to 60 months. Obes Surg. 1999;9:123–43.CrossRefGoogle Scholar
  4. 4.
    Higa KD, Boone KB, Ho T. Complications of the laparoscopic Roux-en-Y gastric bypass: 1,040 patients—what have we learned? Obes Surg. 2000;10(6):509–13.CrossRefGoogle Scholar
  5. 5.
    Schauer PR, Ikramuddin S, Gourash W, et al. Outcomes after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Ann Surg. 2000;232:515–29.CrossRefGoogle Scholar
  6. 6.
    Champion JK, William M. Small bowel obstruction and internal hernias after laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2003;13:596–600.CrossRefGoogle Scholar
  7. 7.
    Awais O, Raftopoulos I, Luketich D, et al. Acute, complete proximal small bowel obstruction after laparoscopic gastric bypass due to intraluminal blood clot formation. Surg Obes Relat Dis. 2005 Jul–Aug;1(4):418–22; discussion 422–3.CrossRefGoogle Scholar
  8. 8.
    Felsher J, Brodsky J, Brody F. Small bowel obstruction after laparoscopic Roux-enY gastric bypass. Surgery. 2003 Sep;134(3):501–5.CrossRefGoogle Scholar
  9. 9.
    Onda M, Urazumi K, Abe R, et al. Obstructive ileus caused by blood clot after emergency total gastrectomy in a patient with hemophilia A: report of a case. Surg Today. 1998;28:1266–9.CrossRefGoogle Scholar
  10. 10.
    Jones KB. Biliopancreatic limb obstruction in gastric bypass at or proximal to the jejunojejunostomy: a potentially deadly, catastrophic event. Obes Surg. 1996 Dec;6(6):485–93.CrossRefGoogle Scholar
  11. 11.
    MacGregor AM. Small bowel obstruction following gastric bypass. Obes Surg. 1992 Nov;2(4):333–9.CrossRefGoogle Scholar
  12. 12.
    Mery CM, Shafi BM, Binyamin G, et al. Profiling surgical 193 staplers: effect of staple height, buttress, and overlap on staple line failure. Surg Obes Relat Dis. 2008 May–Jun;4(3):416–22.CrossRefGoogle Scholar
  13. 13.
    Raman R, Raman B, Raman P, et al. Abnormal findings on routine upper GI series following laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2007 Mar;17(3):311–6.CrossRefGoogle Scholar

Copyright information

© Springer Science + Business Media, LLC 2008

Authors and Affiliations

  1. 1.Department of Abdominal and Bariatric SurgerySt-Dimpna General HospitalGeelBelgium

Personalised recommendations