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Blood Bezoar Causing Obstruction After Laparoscopic Roux-en-Y Gastric Bypass

Overview
Journal Int J Surg Case Rep
Specialty General Surgery
Date 2014 Mar 18
PMID 24632300
Citations 6
Authors
Abdolreza Pazouki
Mohamadali Pakaneh
Alireza Khalaj
Zeinab Tamannaie
Ali Jangjoo
Parvin Shapoori
Mohsen Kalhor
Affiliations
Soon will be listed here.
Abstract

Introduction: Bowel obstruction is a known complication after bariatric surgery especially Roux-en-Y gastric bypass. The known etiologies include internal hernia, jejunojejunostomy stricture, ileus, intussusceptions, superior mesenteric artery syndrome, incarcerated port site hernia, and adhesions. Blood bezoar is a rare cause of small intestinal obstruction after Roux-en-Y gastric bypass.

Presentation Of Case: We are going to present two cases of small bowel obstruction after Roux-en-Y gastric bypass due to blood bezoar.

Discussion: Blood clot as the etiology of small bowel obstruction after Roux-en-Y gastric bypass is an unusual event. In the presence of postoperative small intestinal obstruction an obstructive blood bezoar should be in differential diagnosis. As any other etiology of postoperative obstruction it should be treated immediately to prevent its adverse lethal complications.

Conclusion: The best way for prevention of blood bezoar is prevention of bleeding at staple line and doing hemostasis at stapler line.

Citing Articles

Early Postoperative Anastomotic Obstruction Due to an Intraluminal Blood Clot After Laparoscopic Anterior Resection: A Case Report.

Kwon S, Han J, Seo J, Yoon Y Ann Coloproctol. 2020; 36(5):349-352.

PMID: 33207114 PMC: 7714373. DOI: 10.3393/ac.2020.06.11.2.

Small bowel obstruction after gastric by-pass: Diagnostic limits and percutaneous drain. A paradigmatic case.

Pilone V, Romano M, Renzulli M, Cutolo C, Tramontano S Int J Surg Case Rep. 2019; 57:15-18.

PMID: 30875623 PMC: 6416967. DOI: 10.1016/j.ijscr.2019.02.036.

Endoscopic shaving of hair in a gastric bypass patient with a large bezoar.

Amjad W, Upadhya G, Hurairah A, Iqbal S BMJ Case Rep. 2017; 2017.

PMID: 28993354 PMC: 5652356. DOI: 10.1136/bcr-2017-220923.

Large Hemobezoar Causing Acute Small Bowel Obstruction After Roux-en-Y Gastric Bypass: Laparoscopic Management.

Soricelli E, Facchiano E, Quartararo G, Beltrame B, Leuratti L, Lucchese M Obes Surg. 2017; 27(7):1906-1907.

PMID: 28474320 DOI: 10.1007/s11695-017-2708-4.

Acute small bowel obstruction due to a large intraluminal blood clot after laparoscopic Roux-en-Y gastric bypass.

Green J, Ikuine T, Hacker S, Urrego H, Tuggle K J Surg Case Rep. 2016; 2016(8).

PMID: 27554828 PMC: 4994514. DOI: 10.1093/jscr/rjw143.

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