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Related Experiment Video

Updated: Dec 24, 2025

Techniques of Sleeve Gastrectomy and Modified Roux-en-Y Gastric Bypass in Mice
10:05

Techniques of Sleeve Gastrectomy and Modified Roux-en-Y Gastric Bypass in Mice

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[Preferably a gastric sleeve operation].

L M de Brauw1,2

  • 1Spaarne Gasthuis, afd. Obesitas Chirurgie, Hoofddorp.

Nederlands Tijdschrift Voor Geneeskunde
|April 9, 2020
PubMed
Summary

One third of gastric bypass patients suffer chronic abdominal pain. Diagnosing internal herniation is challenging, often requiring gastric sleeve surgery for those with prior pain or analgesic use.

Area of Science:

  • Gastroenterology
  • Bariatric Surgery
  • Surgical Complications

Background:

  • Chronic abdominal symptoms affect one-third of patients post-gastric bypass.
  • Accurate diagnosis and management of post-bariatric surgery abdominal pain remain challenging.
  • Internal herniation is a significant concern, yet difficult to diagnose or exclude.

Purpose of the Study:

  • To highlight the diagnostic difficulties of internal herniation after gastric bypass.
  • To discuss the implications of undiagnosed internal herniation on patient care.
  • To suggest alternative surgical approaches for specific patient groups.

Main Methods:

  • Review of clinical challenges in diagnosing internal herniation post-gastric bypass.
  • Analysis of current diagnostic limitations for abdominal pain in bariatric patients.

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Last Updated: Dec 24, 2025

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  • Comparison of gastric bypass and gastric sleeve procedures in relation to abdominal symptoms.

    • Main Results:

    • Current diagnostic methods often fail to confirm or exclude internal herniation.
    • Undiagnosed internal herniation contributes to frequent emergency department and clinic visits.
    • Gastric bypass is associated with a high incidence of chronic abdominal symptoms.

    Conclusions:

    • Internal herniation poses a significant diagnostic challenge following gastric bypass.
    • Patients with pre-existing abdominal pain or preoperative analgesic use may benefit from a gastric sleeve operation.
    • Alternative surgical strategies are needed to mitigate chronic abdominal symptoms after bariatric procedures.