Acute gastric remnant dilatation, a rare early complication of laparoscopic mini‐gastric bypass

Several thousands of laparoscopic mini‐gastric bypass have been performed globally by a number of surgeons. There is growing evidence that mini‐gastric bypass is a safe and effective procedure. We report a rare case of massive gastric remnant dilation in a 45‐year‐old man after laparoscopic mini‐gastric bypass. Acute gastric dilatation is a surgical emergency. In our case, a triad of clinical suspicion, laboratory profile, and emergency radiologic investigation were essential for early diagnosis and management. Image‐guided gastrostomy tube placement provides an effective decompression of the gastric remnant. A literature review revealed no previous reports of similar complications in mini‐gastric bypass.