Successful surgical treatment of a pregnancy-induced Petersen's hernia after laparoscopic gastric bypass.

Department of General and Vascular Surgery, Gundersen Lutheran Medical Center, La Crosse, Wisconsin 54601, USA.
Surgery for Obesity and Related Diseases (Impact Factor: 4.94). 09/2005; 1(5):506-8. DOI: 10.1016/j.soard.2005.07.008
Source: PubMed
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    ABSTRACT: Bariatric surgery as laparoscopic Roux-en-Y gastric bypass (LRYGB) is increasing throughout the world and women represent the majority (70%) of patients. Most of them are of reproductive age. As a consequence, surgeons will have to treat more and more pregnant patients with a history of LRYGB for surgical abdominal pain. Reported incidence of small bowel obstruction (SBO) varies from 1.5% to 3.5% after LRYGB including internal hernias, intussusception and volvulus. As two cases of maternal postoperative death have been reported in the literature, diagnosis and surgical treatment shouldn't be delayed especially during pregnancy. To underline the necessity of a rapid diagnosis and surgical treatment, we reported two cases of severe SBO during pregnancy.
    07/2012; 2012(7):1. DOI:10.1093/jscr/2012.7.1
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    ABSTRACT: Over 80% of patients undergoing bariatric surgery are women, approximately half of whom are of reproductive age. The most common procedure in the United States is the Roux-en-Y gastric bypass. Small bowel obstruction is one of many recognized postoperative complications. For such a serious condition, this entity presents with remarkable subtlety and is easily misdiagnosed, particularly in pregnant women. The consequences of late recognition can be life-threatening to both mother and fetus. We aim to decrease preventable maternal and perinatal morbidity and mortality by revealing diagnostic and therapeutic missteps related to Roux-en-Y gastric bypass-associated small bowel obstruction.
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