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  • Title: Mallory-Weiss tear after laparoscopic Roux-en-Y gastric bypass.
    Author: Madan AK, Kuykendall SJ, Ternovits CA, Tichansky DS.
    Journal: Surg Obes Relat Dis; 2005; 1(5):500-2. PubMed ID: 16925277.
    Abstract:
    In the United States, the most common surgical procedure for morbid obesity is the Roux-en-Y gastric bypass. Pulmonary embolism, leak, bowel obstruction, and gastrointestinal bleeding are among the potential early fatal complications. Early postoperative bleeding after laparoscopic gastric bypass, although uncommon, presents a dilemma because of the danger of perforation from postoperative endoscopy and the inability to access the gastric remnant easily. We describe a case of a Mallory-Weiss tear causing massive upper gastrointestinal hemorrhage 1 week after laparoscopic Roux-en-Y gastric bypass. Bariatric surgeons should consider this diagnosis, especially when encountering a patient with a history of significant retching postoperatively.
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