Abstract
Roux-en-Y gastric bypass has shown to be very effective in achieving weight loss in patients with obesity; however, weight re-gain does still occur in some patients. Often, these patients undergo a second procedure in order to achieve weight loss once again. Placing a laparoscopic adjustable band over the gastric pouch in a bypass patient is one technique used by many surgeons. By placing the band, the gastric pouch is restricted from expanding to prevent risk of weight regain. This is a rare case of a patient who presented with small bowel obstruction due to an internal hernia caused by band tubing from adjustable gastric banding over previous Roux-en-Y bypass.
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