Laparoscopic Roux-en-Y gastric bypass with linear gastrojejunostomy: occurrence of postsurgical complications
Epublication WebSurg.com, May 2013;13(05). URL: http://websurg.com/doi/vd01en3941
Roux-en-Y gastric bypass is a common procedure in bariatric surgery. It can be perfectly standardized in order to make it technically easier to perform and to reduce risks of postoperative complications. This video shows a conventional gastric bypass procedure with linear gastrojejunostomy. The intervention ran smoothly. Twenty-four hours postoperatively, the patient complained of abdominal pain. Serum chemistries demonstrated severe inflammatory signs. An emergency CT-scan demonstrated a gastrojejunal fistula. It was decided to perform an emergency laparoscopic reintervention. An anastomotic dehiscence was identified and sutured. The postoperative outcome was finally uneventful.