Mallory-Weiss tear after laparoscopic Roux-en-Y gastric bypass.
In the United States, the most common surgical procedure for morbid obesity is the Roux-en-Y gastric bypass. Pulmonary embolism, leak, bowel obstruction, and gastrointestinal bleeding are among the potential early fatal complications. Early postoperative bleeding after laparoscopic gastric bypass, although uncommon, presents a dilemma because of the danger of perforation from postoperative endoscopy and the inability to access the gastric remnant easily. We describe a case of a Mallory-Weiss tear causing massive upper gastrointestinal hemorrhage 1 week after laparoscopic Roux-en-Y gastric bypass. Bariatric surgeons should consider this diagnosis, especially when encountering a patient with a history of significant retching postoperatively.
Madan
Atul K
AK
Department of Surgery, Section of Minimally Invasive Surgery, University of Tennessee Health Science Center, Memphis, 38163, USA. amadan@utmem.edu
Kuykendall
Samuel J
SJ
Ternovits
Craig A
CA
Tichansky
David S
DS
D004947:Esophagus / Q000293:injuries* / Q000601:surgery; D005260:Female; D015390:Gastric Bypass / Q000009:adverse effects*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery; D006396:Hematemesis / Q000209:etiology / Q000601:surgery; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery