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Internal hernia after laparoscopic Roux-en-Y gastric bypass

F Costantino, MD J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Jan 2010;10(01). URL: http://websurg.com/doi/vd01en2675

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  • 2010-01-15
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Internal hernia following laparoscopic RYGBP is a rare but potentially fatal complication. This is the case of a 40-year-old patient who benefited of a gastric bypass for morbid obesity. She had a BMI of 50. She presented with post-prandial pain associated with vomiting. The gastroscopy showed no abnormality. The contrast swallow and follow-through examination showed a stenosis 30cm from the gastrojejunal anastomosis with an almost complete obstruction. This finding was corroborated by the CT-scan, which identified an internal passage at the level of the alimentary loop. The laparoscopic repair of this internal hernia is presented.