Related Experiment Video
Updated: May 14, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
Published on: August 22, 2025
EVICEL glue-induced small bowel obstruction after laparoscopic gastric bypass
Godwin I Ofikwu1, Mohammad Sarhan, Leaque Ahmed
1Harlem Hospital Center, Columbia University, New York, NY 10037, USA. ofikwu@yahoo.com
Abstract:
Small bowel obstruction is a complication of laparoscopic Roux-en-Y gastric bypass (LRYGB) frequently caused by adhesions and internal hernia. In addition, anastomotic leak that complicates LRYGB surgery contributes to the mortality of this procedure. Fibrin glue is commonly used intraoperatively for prevention of anastomotic leak and to secure hemostasis. We describe 2 cases of morbidly obese women who underwent LRYGB surgery for weight loss and developed early postoperative small bowel obstruction related to the use of the "EVICEL" fibrin sealant. Of note is that both patients required surgical intervention for this complication.
Related Concept Videos
Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
Pyloric Obstruction
Intestinal Obstruction II: Pathophysiology
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
