Volvulus 8 years after bariatric surgery
Authors:
B. Jíšová; M. Podhráský; P. Hladík; M. Vlková; R. Lischke
Authors‘ workplace:
III. chirurgická klinika I. lékařská fakulta Univerzity Karlovy a Fakultní nemocnice v Motole, Praha
Published in:
Rozhl. Chir., 2023, roč. 102, č. 3, s. 139-141.
Category:
Case Report
doi:
https://doi.org/10.33699/PIS.2023.102.3.139–141
Overview
Introduction: Bariatric surgery is a widespread branch of surgery because of the increase in obesity in population. It is one way to achieve long-term weight loss effect in obese patients. Like other surgeries, bariatric surgery has many complications including ileus and volvulus in small intestine. It is an acute state in surgery and usually leads to a revision surgery.
Case report: 58 years old woman who underwent mini-gastric bypass in 2014. She was admitted to our department because of manifestation of ileus on the second day after TEP of the hip joint. There was a typical sign of volvulus on the CT scan. She was operated on the same day. The reinsertion of enteroenteroanastomosis and denotation of the small intestine, desufflation of the large intestine, and reconstruction of new enteroenteroanastomosis was needed. After the surgery, the patient was without any complications. The bowel function recovery was slower postoperatively.
Conclusion: Diagnosis of volvulus is not easy because of non-specific clinical symptoms. In this case report, the volvulus occurred 8 years after the primary surgery. Symptoms developed because of paralytic ileus after hip replacement.
Keywords:
postoperative complications – bariatric surgery – ileus – volvulus
Sources
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Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2023 Issue 3
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