Acute small bowel obstruction following laparoscopic Roux-en-Y gastric bypass during pregnancy: two different presentations | Zendy

G. Tuyeras | Zendy; Eric Pappalardo | Zendy; Simon Msika | Zendy

Open Access

Acute small bowel obstruction following laparoscopic Roux-en-Y gastric bypass during pregnancy: two different presentations

Author(s) -

G. Tuyeras,

Eric Pappalardo,

Simon Msika

Publication year - 2012

Publication title -

journal of surgical case reports

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.14

H-Index - 3

ISSN - 2042-8812

DOI - 10.1093/jscr/2012.7.1

Subject(s) - medicine , bowel obstruction , surgery , pregnancy , internal hernia , intussusception (medical disorder) , volvulus , roux en y anastomosis , gastric bypass , abdominal pain , laparoscopy , incidence (geometry) , general surgery , weight loss , obesity , genetics , physics , optics , biology

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.

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