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  • Title: Internal hernias and gastric perforation after a laparoscopic gastric bypass.
    Author: Serra C, Baltasar A, Bou R, Miró J, Cipagauta LA.
    Journal: Obes Surg; 1999 Dec; 9(6):546-9. PubMed ID: 10638480.
    Abstract:
    A 27-year-old woman underwent laparoscopic Rouxen-Y gastric bypass. A retrocolic-retrogastric herniation of most of the small bowel and later a gastric perforation due to internal hernia at the mesenteric defect of the jejuno-jejunostomy occurred. These unusual, but not rare, complications are directly related to the neoanatomy that follows gastric bypass and can lead to rapidly progressing and life-threatening situations. Proper evaluation of clinical signs and symptoms, early abdominal CT scan, and urgent operative intervention are mandatory to achieve a successful outcome.
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