Titre
A new type of internal hernia after laparoscopic Roux-en-Y gastric bypass.
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Paroz, A.
Auteure/Auteur
Calmes, J.M.
Auteure/Auteur
Romy, S.
Auteure/Auteur
Giusti, V.
Auteure/Auteur
Suter, M.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
0960-8923
Statut éditorial
Publié
Date de publication
2009
Volume
19
Numéro
4
Première page
527
Dernière page/numéro d’article
530
Peer-reviewed
Oui
Langue
anglais
Résumé
Roux-en-Y gastric bypass (RYGBP) is currently the most common bariatric procedure. One of its late complications is the development of internal hernia, which can lead to acute intestinal obstruction or recurrent colicky abdominal pain. The aim of this paper is to present a new, unusual, and so far not reported type of internal hernia. A common computerized database is maintained for all patients undergoing bariatric surgery in our departments. The charts of patients with the diagnosis of internal hernia were reviewed. Three patients were identified who developed acute intestinal obstruction due to an internal hernia located between the jejunojejunostomy and the end of the biliopancreatic limb, directly between two jejunal limbs with no mesentery involved. Another seven patients with intermittent colicky abdominal pain, re-explored for the suspicion of internal hernia, were found to also have an open window of the same location apart from a hernia at one of the typical hernia sites. Since this gap is systematically closed during RYGBP, no other patient has been observed with this problem. Even very small defects can lead to the development of internal hernias after RYGBP. Patients with suggestive symptoms must be explored. Closure of the jejunojejunal defect with nonabsorbable sutures prevents the development of an internal hernia between the jejunal loops at the jejunojejunostomy.
PID Serval
serval:BIB_80BC34FC06B4
PMID
Open Access
Oui
Date de création
2009-09-03T06:41:15.815Z
Date de création dans IRIS
2025-05-20T23:02:06Z
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Nom
REF.pdf
Version du manuscrit
published
Taille
136.56 KB
Format
Adobe PDF
PID Serval
serval:BIB_80BC34FC06B4.P001
URN
urn:nbn:ch:serval-BIB_80BC34FC06B47
Somme de contrôle
(MD5):5eac1d87844d5b20726b31960e407a3d