Internal hernia after gastric shunting

Internal hernia after gastric shunting –Roux-en -Y gastric bypass

Автор: Евдошенко В. В. и Феденко В. В.

Теги: Evdoshenko V.V Fedenko V.V. Internal hernia after gastric shunting Gastric Shunting

Internal hernia after gastric shunting –Roux-en -Y gastric bypass.
D-r Evdoshenko V.V. and D-r Fedenko V.V. are performing an operation.

One of the complications after gastric shunting – Roux-en-Y gastric bypass- is a formation of the internal hernia near the window of mesocolon. This window is created for pulling the loop of “Roux colon” into the superior part of the abdomen. Closure of that window at the end of operation is compulsory. Nevertheless, the closure sometimes is not efficient, and the situation is complicated by development of the internal hernia. Clinically it is manifested by intermitting intestinal obstruction, that within some period of time will be progressing, and the total obstruction will take place later on. This operation demonstrates the situation when the small colon is almost completely shifted into the cavity of omentum bursa through mesocolon window. So, the small colon has been shifted into proper position, open defect is stitched by continuous suture.

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