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Early small bowel obstruction in laparoscopic Roux-en-Y gastric bypass

A Poirier1, R Sensevy1, N Reibel2

  • 1Department of Visceral, Metabolic and Cancer Surgery (CVMC), CHRU de NANCY-Hôpitaux de Brabois, rue du Morvan, 54500 Vandœuvre-lès-Nancy, France.

Journal of Visceral Surgery
|January 15, 2021
PubMed

Insights

Alimentary limb kinking, a complication of laparoscopic Roux-en-Y gastric bypass, can be diagnosed via CT scan and confirmed during surgery. Surgical principles are key to effective treatment.

Area of Science:

  • Bariatric Surgery
  • Gastrointestinal Surgery
  • Surgical Complications

Background:

  • Laparoscopic Roux-en-Y gastric bypass (LRYGB) is a common bariatric procedure.
  • Alimentary limb kinking is a potential complication following LRYGB.
  • Early diagnosis and intervention are crucial for patient outcomes.

Purpose of the Study:

  • To describe the diagnostic findings of alimentary limb kinking.
  • To outline the surgical treatment principles for this complication.

Main Methods:

  • Diagnosis suggested by computed tomography (CT) scans.
  • Confirmation and surgical management performed laparoscopically.

Main Results:

  • CT scans can effectively suggest the presence of alimentary limb kinking.
  • Laparoscopic surgery allows for direct diagnosis and treatment.

Conclusions:

  • Alimentary limb kinking is a recognized complication of LRYGB.
  • A combination of CT imaging and laparoscopic surgery facilitates diagnosis and treatment.
  • Adherence to surgical principles ensures effective management.

Keywords:
CT scanJejunojejunal anastomosisLaparoscopic Roux-en-Y Gastric BypassRoux limb kinking

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