title: Failure of gastric bypass following several gastrointestinal hemorrhages.
abstract: 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.
authors.affiliation: Fondazione Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena IRCCS, Università di Milano, Milan, Italy. enrico.mozzi@unimi.it
authors.forename: Enrico
authors.initials: E
authors.lastname: Mozzi
authors.forename: Ezio
authors.initials: E
authors.lastname: Lattuada
authors.forename: Marco Antonio
authors.initials: MA
authors.lastname: Zappa
authors.forename: Ilaria
authors.initials: I
authors.lastname: Antonini
authors.forename: Francesco
authors.initials: F
authors.lastname: Andreoli
authors.forename: Sara
authors.initials: S
authors.lastname: Badiali
authors.forename: Giancarlo
authors.initials: G
authors.lastname: Roviaro
mesh_terms: 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