Hepatic portal gas due to gastro-jejunal anastomotic leak after laparoscopic gastric bypass.
Gastrointestinal complications after laparoscopic Roux-en-Y gastric bypass (LRYGBP) are not uncommon. Leakage of the gastro-jejunal anastomosis is the main early surgical complication of LRYGBP. Hepatic portal venous gas (HPVG) has been described in association with a variety of pathologic conditions. HPVG is a potentially life-threatening condition due to its etiology, with a global survival rate of <25%. We present a case of gastro-jejunal anastomotic leak associated with HPVG after LRYGBP.
Mognol
Philippe
P
Service de Chirurgie Générale A, Hôpital Bichat, Paris, France. phillippe.mognol@bch.ap-hop-paris.fr
Chosidow
Denis
D
Marmuse
Jean-Pierre
JP
D000328:Adult; D000713:Anastomosis, Roux-en-Y / Q000009:adverse effects; D005260:Female; D005500:Follow-Up Studies; D015390:Gastric Bypass / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D007583:Jejunum / Q000601:surgery; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods; D007813:Laparotomy; D009767:Obesity, Morbid / Q000175:diagnosis / Q000601:surgery*; D011027:Pneumoperitoneum / Q000000981:diagnostic imaging / Q000209:etiology*; D011169:Portal Vein / Q000000981:diagnostic imaging; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000503:physiopathology; D012086:Reoperation; D018570:Risk Assessment; D013270:Stomach / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome