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Crohn's disease after gastric bypass surgery
Izabella Janczewska1, Qayium Nekzada, Marjo Kapraali
1Division of Internal Medicine, Department of Clinical Sciences, Karolinska Institutet, Stockholm, Sweden. izabella.janczewska@ds.se
BMJ Case Reports
|June 14, 2012
Summary
Bariatric surgery, including Roux-en Y gastric bypass, can lead to complications like diarrhea and malnutrition. This study highlights two cases where these symptoms indicated Crohn's disease after surgery.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Digestive Diseases
Background:
- Bariatric surgery for severe obesity has surged in popularity in the US and Western Europe.
- Roux-en Y gastric bypass (RYGBP) is the predominant surgical technique employed.
- Nutritional and gastrointestinal complications following bariatric procedures are increasingly documented.
Observation:
- Two patients presented with persistent diarrhea and malnutrition post-bariatric surgery.
- One patient had undergone RYGBP, while the other had a jejunoileal bypass.
- These clinical presentations prompted further investigation into underlying conditions.
Findings:
- Both patients were diagnosed with Crohn's disease.
- The onset of Crohn's disease was noted after their respective bariatric surgeries.
- This suggests a potential link or exacerbation of inflammatory bowel disease post-intervention.
Implications:
- Bariatric surgery complications may mask or trigger inflammatory bowel diseases like Crohn's.
- Clinicians should consider Crohn's disease in patients with unexplained gastrointestinal issues post-bariatric surgery.
- Further research is warranted to explore the relationship between bariatric procedures and Crohn's disease development or presentation.
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