Obstruction of the bypassed stomach treated with percutaneous drainage: an alternative treatment for selected cases.
Biliopancreatic limb obstruction in Roux-en-Y gastric bypass is an infrequent complication that should be recognized early to avoid the risk of peritonitis and death. In this manuscript, we report a case of acute gastric remnant dilatation secondary to intraabdominal hematoma provoked by trocar injury that was compressing the second portion of duodenum lumen. To treat this problem, we decided on a less invasive treatment consisting of percutaneous decompression of the stomach. The procedure was performed using sonographic guidance with local anesthesia, thus, avoiding a new surgical procedure. In this selected case, percutaneous radiological catheter placement provided an effective decompression of the excluded gastric remnant until spontaneous resolution of the obstruction.
López-Tomassetti Fernández
E M
EM
Department of Gastrointestinal Surgery, Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, Las Palmas 35016, Spain. dretomassetti@gmail.com
Arteaga González
I
I
Diaz-Luis
H
H
Carrillo Pallares
A
A
D034841:Abdominal Cavity; D004322:Drainage; D004380:Duodenal Obstruction / Q000209:etiology*; D005260:Female; D015390:Gastric Bypass / Q000009:adverse effects*; D013271:Gastric Dilatation / Q000209:etiology / Q000628:therapy*; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D013525:Surgical Instruments / Q000009:adverse effects