Hiatal hernia containing the alimentary limb and the gastric pouch: a rare cause of small bowel obstruction after Roux-en-Y gastric bypass

Abstract

Small bowel obstruction is a common complication after laparoscopic Roux-en-Y gastric bypass (LRYGB) that can be associated with considerable morbidity and mortality. The reported incidence ranges from 1.5% to 5% [ [1] Husain S. Ahmed A.R. Johnson J. Boss T. O’Malley W. Small-bowel obstruction after laparoscopic Roux-en-Y gastric bypass etiology, diagnosis, and management. Arch Surg. 2007; 142: 988-993 Crossref PubMed Scopus (77) Google Scholar ]. Early small bowel obstructions tend to result from technical problems with the Roux limb. The later group of obstructions usually results from adhesions or hernias, which are the most common presentations and could be handled laparoscopically without bowel resection [ 2 Bradley III, J.F. Ross S.W. Christmas A.B. et al. Complications of bariatric surgery: the acute care surgeon's experience. Am J Surg. 2015; 210: 456-461 Abstract Full Text Full Text PDF PubMed Scopus (17) Google Scholar , 3 Hwang R.F. Swartz D.E. Felix E.L. Causes of small bowel obstruction after laparoscopic gastric bypass. Surg Endosc. 2004; 18: 1631-1635 Crossref PubMed Scopus (125) Google Scholar ].