[Late perforation following laparoscopic gastric bypass].
We present two cases in which the patients were admitted to a local hospital with acute abdominal pain four or five months after having undergone laparoscopic gastric bypass. In both cases, operation revealed a perforation of the small bowel close to the distal anastomosis. In the first case, a massive constipation of the small bowel was most likely a contributing factor. In the second case, the cause was a kink of the entero-entero anastomosis leading to obstruction and finally perforation of the biliary limp. Late perforations are among the rarely reported complications associated with gastric bypass but as our two cases illustrate they are important to keep in mind.
Spanager
Lene
L
Nordsjaellands Hospital, Kirurgisk Afdeling, Denmark. lenand@noh.regionh.dk
Sigild
Ulf Henrik
UH
Neuenschwander
Anders Ulrich
AU
D000328:Adult; D001659:Biliary Tract / Q000293:injuries; D003251:Constriction, Pathologic / Q000209:etiology / Q000601:surgery; D005260:Female; D015390:Gastric Bypass / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology* / Q000601:surgery; D007421:Intestine, Small / Q000293:injuries*; D007583:Jejunum / Q000293:injuries; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D013997:Time Factors