We use cookies to offer you an optimal experience on our website. By browsing our website, you accept the use of cookies.
You must be logged in to watch this video.
Login Register
  • 198
  • 2010-07-15

Laparoscopic exploration after Roux-en-Y gastric bypass following intestinal obstruction

Epublication WebSurg.com, Jul 2010;10(07). URL:
You must be logged in to ask a question to authors. Click here to access your account, or here to register for free!
This video demonstrates a laparoscopic exploration in a female patient who had undergone a gastric bypass in 2002. Her BMI was 58 at that time. Now it is 20. She had been operated on for an incisional hernia that occurred at the level of the former umbilical optical port site. She suffered from several episodes of proven mechanical bowel obstruction and benefited from medical treatment. However, despite a thorough preoperative work-up, including gastroscopy, colonoscopy and repeat CT-scan studies performed over 6 months, the mechanical origin of the bowel obstruction was difficult to demonstrate. Since the patient had chronic, cramp-like abdominal pain, the exploration of the abdominal cavity using the former port entry sites is decided upon.