Taiwanese Journal of Obstetrics and Gynecology
Volume 46, Issue 3 , Pages 267-271, September 2007

Strangulation of Upper Jejunum in Subsequent Pregnancy Following Gastric Bypass Surgery

  • Chen-Bin Wang

      Affiliations

    • Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Chia Yi, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Chen-Bin Wang, Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, 6, Section West, Chia Pu Road, Pu Tz City, Chia Yi 613, Taiwan
    • ,
  • Ching-Chuan Hsieh

      Affiliations

    • Department of General Surgery, Chang Gung Memorial Hospital, Chia Yi, Taiwan
    • ,
  • Chun-Hung Chen

      Affiliations

    • Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Chia Yi, Taiwan
    • ,
  • Yu-Hsiang Lin

      Affiliations

    • Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Chia Yi, Taiwan
    • ,
  • Chung-Yuan Lee

      Affiliations

    • Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Chia Yi, Taiwan
    • ,
  • Chih-Jen Tseng

      Affiliations

    • Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Chia Yi, Taiwan

Accepted 22 November 2006.

Article Outline

Summary 

Objective

Gastric bypass is a surgical procedure that is popularly used to treat morbid obesity. Herein, we report a woman who had a rare gastrointestinal complication during the subsequent antepartum period following a gastric bypass surgery.

Case Report

After a Roux-en-Y gastric bypass surgery, a 32-year-old woman had unrelenting epigastria for one week at 36 weeks' gestation. An emergency cesarean delivery, followed by laparotomy, was performed. A female neonate was delivered with Apgar scores of 8 and 9 at 1 and 5 minutes, respectively. Strangulation and gangrene of the upper jejunum caused by a fibrous band at the site of the Roux anastomosis were revealed. Segmental resection of the nonviable bowel was performed. The patient experienced a smooth postoperative course.

Conclusion

The awareness of internal hernias and small bowel strangulation should be addressed when unrelenting epigastric pain is present in women after Roux-en-Y gastric bypass surgery, during their first subsequent pregnancy.

Key Words:  gastric bypass surgery , pregnancy complication , strangulation

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References 

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PII: S1028-4559(08)60032-7

doi:10.1016/S1028-4559(08)60032-7

Taiwanese Journal of Obstetrics and Gynecology
Volume 46, Issue 3 , Pages 267-271, September 2007

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