Bibliographic Details
| Title: |
Obstrucción intestinal y hernia interna tras by-pass gástrico laparoscópico |
| Authors: |
Campano Cruz, Ildefonso, Alcaide Matas, Fernando, Bagur Bagur, Clàudia, Giordano, Hernán, Gil Iriondo, Alberto |
| Source: |
Annals of Mediterranean Surgery: official organ of Balearic Society of Surgery, ISSN 2603-8706, Vol. 3, Nº. 1, 2020, pags. 13-18 |
| Publication Year: |
2020 |
| Collection: |
Dialnet - Portada de revistas (Universidad de La Rioja) |
| Subject Terms: |
Bariatric Surgery, Laparoscopic Gastric Bypass, Adverse Effects, Intestinal Obstruction, Internal Hernia |
| Description: |
The postoperative intestinal obstruction syndrome is a known complication of bariatric surgery and has different etiologies: bridles, volvulus, stenosis or internal hernias. We present the clinical case of a 61-year-old patient who underwent gastric bypass retrocolic ringed and laparoscopic cholecystectomy due to obesity who suffers internal hernia through a mesenteric orifice with irreversible intestinal ischemia, which requires disassembly of the bypass with intestinal resection, including a food loop and foot. of the loop, partial gastrectomy and urgent splenectomy. We proceed to reconstruction of the transit with gastro-gastric end-lateral and latero-lateral jejunojejunal anastomosis. In patients undergoing laparoscopic bariatric surgery, it is important to consider intestinal obstruction due to internal hernia as a serious, relatively frequent and potentially fatal complication. ; El síndrome de obstrucción intestinal postoperatoria es una complicación conocida de la cirugía bariátrica y tiene diferentes etiologías: bridas, vólvulos, estenosis o hernias internas. Presentamos el caso clínico de una paciente de 61 años intervenida de bypass gástrico retro cólico anillado y colecistectomía laparoscópicos por obesidad que sufre hernia interna a través de orificio mesentérico con isquemia intestinal irreversible que obliga a desmontaje del bypass con resección intestinal, incluyendo asa alimentaria y pie de asa, gastrectomía parcial y esplenectomía urgente. Se procede a reconstrucción del tránsito con anastomosis gastro-gástrica T-L y yeyunoyeyunal L-L. En pacientes intervenidos de cirugía bariátrica laparoscópica es importante tener en cuenta la obstrucción intestinal por hernia interna como complicación grave, relativamente frecuente y potencialmente mortal. |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
Spanish; Castilian |
| Relation: |
https://dialnet.unirioja.es/servlet/oaiart?codigo=7464598 |
| Availability: |
https://dialnet.unirioja.es/servlet/oaiart?codigo=7464598 |
| Rights: |
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| Accession Number: |
edsbas.80905BEE |
| Database: |
BASE |