title: Mallory-Weiss tear after laparoscopic Roux-en-Y gastric bypass.
abstract: 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.
authors.affiliation: Department of Surgery, Section of Minimally Invasive Surgery, University of Tennessee Health Science Center, Memphis, 38163, USA. amadan@utmem.edu
authors.forename: Atul K
authors.initials: AK
authors.lastname: Madan
authors.forename: Samuel J
authors.initials: SJ
authors.lastname: Kuykendall
authors.forename: Craig A
authors.initials: CA
authors.lastname: Ternovits
authors.forename: David S
authors.initials: DS
authors.lastname: Tichansky
mesh_terms: 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