Short Bowel Syndrome from Strangulated Internal Hernia After Childbirth in a Patient With a History of Gastric Bypass Surgery: Case Report

Jisu Lee; Tae Sun Ha; Jeonghwi Choi; Yeonhwa Kwon; Zisun Kim

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자료유형: 학술저널

저자정보: Jisu Lee (Soonchunhyang University) Tae Sun Ha (Soonchunhyang University) Jeonghwi Choi (Soonchunhyang University) Yeonhwa Kwon (Soonchunhyang University) Zisun Kim (Soonchunhyang University)

저널정보: 대한외상중환자외과학회 Journal of Acute Care Surgery Journal of Acute Care Surgery Vol.10 No.3

발행연도: 2020.1

수록면: 118 - 122 (5page)

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Bariatric patients are at risk of diverse complications, such as bowel obstruction, internal hernia,and mesenteric thrombosis, which can result in massive small bowel resection with short bowelsyndrome (SBS) as a consequence. In this study a case of an internal hernia after childbirth in a36-year-old patient with a history of laparoscopic Roux-en-Y gastric bypass surgery is reported. An emergency laparotomy revealed an internal hernia in Petersen’s space with volvulus, causingextensive small bowel infarction and necrosis. SBS is a complicated multifaceted syndrome whichrequires a multidisciplinary approach, such as medical, nutritional, and pharmaceutical therapies,to optimize fluid and nutrient absorption over long-term monitoring and with revisions of thecare plan. To reduce the morbidity and mortality associated with an internal hernia and volvulus,clinicians must be acutely aware of a potential SBS diagnosis and not delay surgical exploration, evenif the vital signs, laboratory results, and imaging studies are normal.

#hernia #gastric bypass #short bowel syndrome #pregnancy complications

참고문헌 (10)

참고문헌 신청

McBride CL / 2006 / Short bowel syndrome following bariatric surgical procedures / Am J Surg 192(6):828~832

Moore KA / 2004 / Maternal and fetal deaths after gastric bypass surgery for morbid obesity / N Engl J Med 351(7):721~722

Fried M / 2014 / Interdisciplinary European guidelines on metabolic and bariatric surgery / Rozhl Chir 93(7):366~378

Leal-Gonzalez R / 2013 / Internal hernias in pregnant women with history of gastric bypass surgery : Case series and review of literature / Int J Surg Case Rep 4(1):44~47

Ahmed AR / 2006 / Internal hernia with Roux loop obstruction during pregnancy after gastric bypass surgery / Obes Surg 16(9):1246~1248

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