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152556

Internal Hernia following Laparoscopic Roux-en-Y Gastric Bypass, preventive measures

Article

Last updated: 23 Jan 2023

OverviewSimilar Items

Subjects

-

Tags

General Surgery

Abstract

Introduction:Laparoscopic Roux-en-Y gastric bypass (LRYGB) is one of the commonest operations for weight loss surgery especially in the western countries. Internal hernia (IH) can occur following LRYGB and may lead to dreadful complications as small bowel obstruction and strangulation.Objective:To analyse trends of IH after LRYGB and how to prevent it.Methods:A narrative review of the literature was through an online search of the MEDLINE (via Pubmed) database, using the following keywords “Obes*", “Gastric Bypass" and “Internal Hernia".Results: Different methods were prescribed for management of mesenteric defects after LRYGB. Closure revealed better out come in front of non-closure technique. Closure with sutures was the most popular and had a superior outcome.Conclusion:Closure of all IH defects after LRYGB defects revealed lower incidence of internal hernias. Superior long-term results came with closure using sutures. There are other methods for closure but still need more evaluation.

DOI

10.21608/mjmu.2021.55211.1005

Keywords

Internal hernia, Gastric bypass, Morbid Obesity

Authors

First Name

Ahmed

Last Name

Ghanem

MiddleName

-

Affiliation

General Surgery department, Mansoura University Hospital, Faculty of Medicine, Mansoura University, Egypt

Email

a.ghanem1st@gmail.com

City

-

Orcid

-

First Name

Mohamed

Last Name

Youssef

MiddleName

-

Affiliation

General Surgery department, Mansoura University Hospital, Faculty of Medicine, Mansoura University, Egypt

Email

m_elkhir@yahoo.com

City

Mansoura, Egypt

Orcid

-

First Name

Mohamed

Last Name

Farid

MiddleName

-

Affiliation

General Surgery department, Mansoura University Hospital, Faculty of Medicine, Mansoura University, Egypt

Email

mfshzk2005@yahoo.com

City

-

Orcid

-

First Name

Ahmed

Last Name

Ahmed

MiddleName

Rashid

Affiliation

Bariatric and Upper GI surgery department, St. Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK.

Email

ahmed.ahmed4@nhs.net

City

-

Orcid

-

First Name

Waleed

Last Name

Omar

MiddleName

-

Affiliation

General Surgery department, Mansoura University Hospital, Faculty of Medicine, Mansoura University, Egypt

Email

waleed_h_omar@yahoo.com

City

-

Orcid

-

Volume

50

Article Issue

1

Related Issue

21734

Issue Date

2021-04-01

Receive Date

2020-12-30

Publish Date

2021-04-01

Page Start

1

Page End

6

Print ISSN

1110-211X

Online ISSN

2735-3990

Article File

MJMU_Volume 50_Issue 1_Pages 1-6.pdf

PDF . 479.2kB

Link

https://mjmu.journals.ekb.eg/article_152556.html

Detail API

https://mjmu.journals.ekb.eg/service?article_code=152556

Order

1

Type

Research (original) articles

Type Code

1,453

Publication Type

Journal

Publication Title

Mansoura Medical Journal

Publication Link

https://mjmu.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

23 Jan 2023