title: Acute gastric remnant dilatation, a rare early complication of laparoscopic mini-gastric bypass.
abstract: Several thousands of laparoscopic mini-gastric bypass have been performed globally by a number of surgeons. There is growing evidence that mini-gastric bypass is a safe and effective procedure. We report a rare case of massive gastric remnant dilation in a 45-year-old man after laparoscopic mini-gastric bypass. Acute gastric dilatation is a surgical emergency. In our case, a triad of clinical suspicion, laboratory profile, and emergency radiologic investigation were essential for early diagnosis and management. Image-guided gastrostomy tube placement provides an effective decompression of the gastric remnant. A literature review revealed no previous reports of similar complications in mini-gastric bypass.
authors.affiliation: Department of Surgery, Min-Sheng General Hospital, National Taiwan University, Taoyuan, Taiwan.
authors.forename: Abdullah M
authors.initials: AM
authors.lastname: Almulaifi
authors.forename: Kong-Han
authors.initials: KH
authors.lastname: Ser
authors.forename: Wei-Jei
authors.initials: WJ
authors.lastname: Lee
mesh_terms: D000208:Acute Disease; D015992:Body Mass Index; D003287:Contrast Media; D003924:Diabetes Mellitus, Type 2; D004322:Drainage; D015390:Gastric Bypass / Q000009:adverse effects*; D013271:Gastric Dilatation / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D006973:Hypertension / Q000150:complications; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D014057:Tomography, X-Ray Computed
chemical_list: D003287:Contrast Media
keywords: Gastric dilatation; mini-gastric bypass; remnant stomach