Strangulation of Upper Jejunum in Subsequent Pregnancy Following Gastric Bypass Surgery

• Main Authors: Chen-Bin Wang (Author), Ching-Chuan Hsieh (Author), Chun-Hung Chen (Author), Yu-Hsiang Lin (Author), Chung-Yuan Lee (Author), Chih-Jen Tseng (Author)
• Format: Book
• Published: Elsevier, 2007-09-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 1028-4559; 10.1016/S1028-4559(08)60032-7
• Keywords: gastric bypass surgery; pregnancy complication; strangulation; Gynecology and obstetrics; RG1-991
• Source: Taiwanese Journal of Obstetrics & Gynecology, Vol 46, Iss 3, Pp 267-271 (2007)

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.