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Learning from errors
CASE REPORT
Laparoscopic revisional surgery for an unusual complication of Roux-en-Y gastric bypass
  1. Micaela Raices,
  2. Ignacio Fuente,
  3. Fanny Rodriguez,
  4. Fernando Wright
  1. General Surgery, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
  1. Correspondence to Dr Fernando Wright, fernando.wright{at}hospitalitaliano.org.ar

Summary

With the worldwide epidemic of obesity, there has been an increase in the numbers of primary and revisional procedures of bariatric surgery such as the Roux-en-Y gastric bypass (RYGBP). Nevertheless, this type of surgery is not exempt from complications. An excessive length of non-functional Roux limb proximal to the jejunojejunostomy can cause abnormal upper gastrointestinal symptoms after laparoscopic RYGBP. We present the case of a female patient who presented these unspecific abdominal symptoms after laparoscopic RYGBP who underwent laparoscopic resection in order to reduce the length of the dilated blind loop responsible for the symptoms.

  • gastrointestinal surgery
  • malabsorption

https://doi.org/10.1136/bcr-2018-224759

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    Footnotes

    • Contributors All authors have contributed to the development of this manuscript in the following manner. MR, IF, FR: Conception and design, acquisition of data or analysis and interpretation of data. MR, IF, FR: Drafting the article or revising it critically for important intellectual content. FW: Final approval of the version published, agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None delared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.