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Intestinal obstruction following gastric bypass
Ana Carolina Brochado Geist1, Cláudio Corá Mottin2, Carlos Frota Dillenburg3
1Serviço de Atendimento ao paciente Obeso metabólico (SAO), Av. Dr Maurício Cardoso 931 sala 12, 93510-335, Novo Hamburgo, RS, Brazil; Graduate Program in Medicine and Health Sciences, PUCRS, Porto Alegre, RS, Brazil.
Obesity Research & Clinical Practice
|April 11, 2021
Summary
Gastric bypass surgery can lead to late bezoar formation, causing intestinal obstruction. This condition requires prompt diagnosis and surgical intervention for affected patients.
Area of Science:
- Gastroenterology
- Surgical complications
- Bariatric surgery
Background:
- Gastric bypass is a common bariatric procedure.
- Late postoperative complications can arise after gastric bypass.
- Bezoars are indigestible masses that can cause gastrointestinal issues.
Purpose of the Study:
- To highlight intestinal obstruction caused by bezoars as a critical differential diagnosis.
- To emphasize the need for prompt diagnosis and emergency management of bezoar-induced obstruction post-gastric bypass.
Main Methods:
- Retrospective case series.
- Analysis of 8 patients with intestinal obstruction due to bezoars in the late postoperative period of gastric bypass.
- Review of surgical interventions required for these cases.
Main Results:
- Eight cases of intestinal obstruction due to bezoars were identified.
- All reported cases necessitated surgical intervention.
- Fruit pomace was identified as a common cause of bezoar formation.
Conclusions:
- Intestinal obstruction from bezoars is a significant late complication of gastric bypass.
- Early consideration in differential diagnosis is crucial for timely management.
- Urgent surgical intervention is often required for bezoar-related intestinal obstruction.
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