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Updated: May 22, 2026

Technical Considerations and Approach to Redo Foregut Surgery
Published on: September 22, 2023
Abdominal pain after gastric bypass: labor, uterine rupture, or obstruction and internal hernia
Sarah N Cross1, Unzila Nayeri, Andrew Duffy
1Department of Obstetrics, Gynecology & Reproductive Sciences, Yale School of Medicine, Yale University, 333 Cedar Street, P.O. Box 208063, New Haven, CT 06520-8063, USA.
Abstract:
Background. Although gastric bypass may reduce obesity-related complications of subsequent pregnancies, surgical complications requiring antenatal and postpartum interventions are not uncommon. Case. A 26-year-old G4P1112 status post-Roux-en-Y gastric bypass required multiple urgent antenatal evaluations due to frequent episodes of abdominal pain. At 35 + 4 weeks, she presented with severe abdominal pain; initial evaluation was negative for gastrointestinal pathology. The patient was found to be in preterm labor and underwent a repeat cesarean section. The postoperative course was complicated by bowel obstruction due to internal hernia resulting in an emergent laparotomy and a prolonged hospital course. Conclusion. As more reproductive-aged women opt for surgical treatment of obesity, it is essential that obstetricians recognize complications to be able to counsel and appropriately care for these patients.
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