Failure of gastric bypass following several gastrointestinal hemorrhages.
Gastrointestinal hemorrhage is an infrequent major complication of gastric bypass. We present a 22-year-old morbidly obese man who underwent a laparoscopic Roux-en-Y gastric bypass and had several life-threatening hemorrhages from both the gastric pouch and gastric remnant, associated with an intra-abdominal hemorrhage. The patient underwent two subsequent reoperations, leading eventually to gastrectomy. The possibility to discover all the sources of bleeding after gastric bypass is discussed, and the adoption of a modification of the procedure that allows the investigation of the excluded stomach is suggested.
Mozzi
Enrico
E
Fondazione Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena IRCCS, Università di Milano, Milan, Italy. enrico.mozzi@unimi.it
Lattuada
Ezio
E
Zappa
Marco Antonio
MA
Antonini
Ilaria
I
Andreoli
Francesco
F
Badiali
Sara
S
Roviaro
Giancarlo
G
D005743:Gastrectomy; D015390:Gastric Bypass / Q000009:adverse effects*; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D009767:Obesity, Morbid / Q000601:surgery*; D012086:Reoperation; D016896:Treatment Outcome; D055815:Young Adult