Bariatric Surgery Complications and Emergencies by Daniel M. Herron

Author:Daniel M. Herron
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

Strategies to prevent misconstruction at the time of surgery include correctly identifying the ligament of Treitz, keeping the biliopancreatic limb relatively short so that it will not reach the gastric pouch; and marking limbs shortly after jejunal transection with a clip or suture. In almost all cases, patients with a Roux-en-O present with chronic or protracted bilious vomiting. The presence of bilious vomiting in the absence of a mechanical common limb obstruction should always raise suspicion of misconstruction [40]. If not diagnosed early, this form of misconstruction can lead to severe malnutrition due to poor oral intake.

Roux-en-O misconstruction can be considered either connected or disconnected to the distal jejunum. Postoperative diagnosis may be elusive, especially with connected Roux-en-O misconstruction since contrast fluoroscopy, CT, and abdominal plain films may appear normal [41]. The treatment for this complication is ultimately surgical exploration, either open or laparoscopically, to clarify the anatomy and reconstruct the anastomoses [41].

Download

Copyright Disclaimer:
This site does not store any files on its server. We only index and link to content provided by other sites. Please contact the content providers to delete copyright contents if any and email us, we'll remove relevant links or contents immediately.