title: The tethered bezoar as a delayed complication of laparoscopic Roux-en-Y gastric bypass: a case report.
abstract: Known complications of Roux-en-Y gastric bypass causing abdominal pain and obstructive symptoms include biliary colic, anastomotic ulcer, anastomotic stenosis, or internal hernia. This case report describes a new complication in a patient 15 months post-bypass: a bezoar at the gastrojejunal anastomosis, the nidus of which was a length of permanent suture material which had eroded through the gastric wall. We include endoscopic images of the bezoar, a review of the related gastric bypass literature, and describe the changes made in our practice as a result of this complication.
authors.affiliation: Department of Surgery, Massachusetts General Hospital, 15 Parkman Street, WACC suite 460, Boston, MA 02114, USA. jpratt@partners.org
authors.forename: Janey S A
authors.initials: JS
authors.lastname: Pratt
authors.forename: Michael
authors.initials: M
authors.lastname: Van Noord
authors.forename: Emily
authors.initials: E
authors.lastname: Christison-Lagay
mesh_terms: D000328:Adult; D000713:Anastomosis, Roux-en-Y / Q000009:adverse effects*; D001630:Bezoars / Q000209:etiology*; D004945:Esophagoscopy; D005260:Female; D015390:Gastric Bypass / Q000009:adverse effects*; D018530:Gastric Stump; D005773:Gastroscopy; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D011183:Postoperative Complications; D013536:Suture Techniques / Q000009:adverse effects; D013537:Sutures / Q000009:adverse effects