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Gastric remnant necrosis after Roux-en-Y gastric bypass: an extremely rare and almost fatal complication: a case report

  • Darwin R. Ramos
  • , Antonio S. Robalino
  • , Daniel L. Mogrovejo
  • , Enrique Arias
  • , Diana E. Parrales
  • , Miguel J. Ochoa-Andrade
  • , Gabriel A. Molina*
  • *Corresponding author for this work
  • Obesity Hospital
  • Department of Seguro General de Salud Individual y Familiar IESS
  • Ecuador at Hospital Iess Quito Sur

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

As the weight of the adult population continues to increase, bariatric surgery has emerged as the best available treatment to achieve lasting and significant weight loss. However, as with all medical procedures, post-operative complications can and will continue to occur. Among those rare complications of the Roux-en-Y gastric bypass is the necrosis of the gastric remnant, a severe and near-fatal complication that will be deadly if left untreated. Prompt treatment, surgical therapy, and close follow are critical in all bariatric patients. We present the case of a 37-year-old woman who underwent a gastric bypass surgery, apparently without complications. 2 days after surgery, severe pain and hypotension were discovered. After surgery, gastric remnant necrosis after Roux-en-Y gastric bypass was diagnosed and successfully treated.

Original languageEnglish
Article numberrjaf092
JournalJournal of Surgical Case Reports
Volume2025
Issue number2
DOIs
StatePublished - 1 Feb 2025

Keywords

  • Roux-en-Y gastric bypass
  • bariatric surgery complications
  • gastric remnant necrosis

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