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Mallory-Weiss tear after laparoscopic Roux-en-Ygastric bypass

Authors
Journal
Surgery for Obesity and Related Diseases
1550-7289
Publisher
Elsevier
Publication Date
Volume
1
Issue
5
Identifiers
DOI: 10.1016/j.soard.2005.07.001
Keywords
  • Mallory-Weiss Tear
  • Roux-En-Y
  • Laparoscopic Gastric Bypass
Disciplines
  • Medicine

Abstract

Abstract In the United States, the most common surgical procedure for morbid obesity is the Roux-en- Y gastric bypass. Pulmonary embolism, leak, bowel obstruction, and gastrointestinal bleeding are among the potential early fatal complications. Early postoperative bleeding after laparoscopic gastric bypass, although uncommon, presents a dilemma because of the danger of perforation from postoperative endoscopy and the inability to access the gastric remnant easily. We describe a case of a Mallory-Weiss tear causing massive upper gastrointestinal hemorrhage 1 week after laparoscopic Roux-en- Y gastric bypass. Bariatric surgeons should consider this diagnosis, especially when encountering a patient with a history of significant retching postoperatively.

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