Biliopancreatic limb obstruction after one-anastomosis gastric bypass; a very rare and fatal event: A case report and literature review

被引:0
|
作者
Athar, Rahmatullah [1 ]
Khalaj, Alireza [2 ]
Shapori, Parvin [2 ]
机构
[1] Iran Univ Med Sci, Rasool E Akram Hosp, Ctr Excellence European Branch Int Federat Surg Ob, Tehran, Iran
[2] Shahed Univ, Obes Treatment Ctr, Fac Med, Tehran, Iran
关键词
biliobezoar; biliopancreatic limb obstruction; one-anastomosis gastric bypass; BOWEL OBSTRUCTION;
D O I
10.1111/ases.13402
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The biliopancreatic limb (BPL) obstruction occurrence after one-anastomosis gastric bypass (OAGB) has not been well described in the literature. A 65-year-old female with a history of OAGB surgery presented with acute weight loss and abdominal pain. Imaging studies revealed a bezoar in the duodenal diverticulum obstructing the small bowel. An urgent laparoscopic intervention was performed to remove the bezoar and alleviate the obstruction. The patient experienced postoperative complications, including gastrostomy drainage and subsequent biliobezoar migration. additional surgeries were required to address these complications. This is a rare condition, and it is usually seen in patients with predisposing factors like DM, previous surgery, and duodenal diverticulum. CT scan study is the useful diagnostic modality, and laparoscopic intervention is the choice treatment; this case highlights the importance of recognizing and managing bezoars as a potential complication following bariatric surgery.
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页数:4
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