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  • Title: The tethered bezoar as a delayed complication of laparoscopic Roux-en-Y gastric bypass: a case report.
    Author: Pratt JS, Van Noord M, Christison-Lagay E.
    Journal: J Gastrointest Surg; 2007 May; 11(5):690-2. PubMed ID: 17468931.
    Abstract:
    Known complications of Roux-en-Y gastric bypass causing abdominal pain and obstructive symptoms include biliary colic, anastomotic ulcer, anastomotic stenosis, or internal hernia. This case report describes a new complication in a patient 15 months post-bypass: a bezoar at the gastrojejunal anastomosis, the nidus of which was a length of permanent suture material which had eroded through the gastric wall. We include endoscopic images of the bezoar, a review of the related gastric bypass literature, and describe the changes made in our practice as a result of this complication.
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