V-loc™ capable of grasping surrounding tissue causes obstruction at the jejunojejunostomy after Roux-en-Y laparoscopic gastric bypass.
Because of the increasing number of morbidly obese patients, laparoscopic Roux-en-Y gastric bypass surgery is increasingly being performed to treat these patients and achieve sustained weight loss. Postoperative abdominal symptoms suggestive of impaired gastrointestinal passage are a diagnostic challenge after Roux-en-Y gastric bypass. Here, we present the case of a V-loc™-induced obstruction at the jejunojejunostomy caused by the ability of the V-loc suture to grasp surrounding tissue that required re-laparoscopy. To our knowledge, this specific type of postoperative complication after Roux-en-Y gastric bypass has not been described previously.
Department of Surgery, Sint Lucas Andreas Hospital, Amsterdam, the Netherlands.
Jelmer
J
Oor
Steve
S
de Castro
Bart
B
van Wagensveld
D000328:Adult; D000714:Anastomosis, Surgical; D005260:Female; D015390:Gastric Bypass / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology*; D007579:Jejunal Diseases / Q000175:diagnosis / Q000209:etiology*; D007583:Jejunum / Q000601:surgery*; D010535:Laparoscopy; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology*; D013537:Sutures / Q000009:adverse effects*
Gastric bypass; V-loc™; small bowel obstruction