Biliopancreatic limb obstruction after one‐anastomosis gastric bypass; a very rare and fatal event: A case report and literature review

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Autores principales: Rahmatullah Athar, Alireza Khalaj, Parvin Shapori
Formato: Artículo Open Access
Publicado: Wiley 2024
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author Rahmatullah Athar
Alireza Khalaj
Parvin Shapori
author_facet Rahmatullah Athar
Alireza Khalaj
Parvin Shapori
Rahmatullah Athar
Alireza Khalaj
Parvin Shapori
collection Wiley Open Access
contents Biliopancreatic limb obstruction after one‐anastomosis gastric bypass; a very rare and fatal event: A case report and literature review Rahmatullah Athar Alireza Khalaj Parvin Shapori Asian Journal of Endoscopic Surgery Abstract The biliopancreatic limb (BPL) obstruction occurrence after one‐anastomosis gastric bypass (OAGB) has not been well described in the literature. A 65‐year‐old female with a history of OAGB surgery presented with acute weight loss and abdominal pain. Imaging studies revealed a bezoar in the duodenal diverticulum obstructing the small bowel. An urgent laparoscopic intervention was performed to remove the bezoar and alleviate the obstruction. The patient experienced postoperative complications, including gastrostomy drainage and subsequent biliobezoar migration. additional surgeries were required to address these complications. This is a rare condition, and it is usually seen in patients with predisposing factors like DM, previous surgery, and duodenal diverticulum. CT scan study is the useful diagnostic modality, and laparoscopic intervention is the choice treatment; this case highlights the importance of recognizing and managing bezoars as a potential complication following bariatric surgery. 10.1111/ases.13402 http://onlinelibrary.wiley.com/termsAndConditions#vor
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spellingShingle Biliopancreatic limb obstruction after one‐anastomosis gastric bypass; a very rare and fatal event: A case report and literature review
Rahmatullah Athar
Alireza Khalaj
Parvin Shapori
Asian Journal of Endoscopic Surgery
Biliopancreatic limb obstruction after one‐anastomosis gastric bypass; a very rare and fatal event: A case report and literature review Rahmatullah Athar Alireza Khalaj Parvin Shapori Asian Journal of Endoscopic Surgery Abstract The biliopancreatic limb (BPL) obstruction occurrence after one‐anastomosis gastric bypass (OAGB) has not been well described in the literature. A 65‐year‐old female with a history of OAGB surgery presented with acute weight loss and abdominal pain. Imaging studies revealed a bezoar in the duodenal diverticulum obstructing the small bowel. An urgent laparoscopic intervention was performed to remove the bezoar and alleviate the obstruction. The patient experienced postoperative complications, including gastrostomy drainage and subsequent biliobezoar migration. additional surgeries were required to address these complications. This is a rare condition, and it is usually seen in patients with predisposing factors like DM, previous surgery, and duodenal diverticulum. CT scan study is the useful diagnostic modality, and laparoscopic intervention is the choice treatment; this case highlights the importance of recognizing and managing bezoars as a potential complication following bariatric surgery. 10.1111/ases.13402 http://onlinelibrary.wiley.com/termsAndConditions#vor
title Biliopancreatic limb obstruction after one‐anastomosis gastric bypass; a very rare and fatal event: A case report and literature review
topic Asian Journal of Endoscopic Surgery
url https://onlinelibrary.wiley.com/doi/10.1111/ases.13402