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Case Report
Gastric remnant perforation after single anastomosis gastric bypass
1 Surgical Trainee, Royal Prince Alfred Hospital, University of Sydney, Sydney, NSW, Australia
2 Surgical Fellow, Royal Prince Alfred Hospital, University of Sydney, Sydney, NSW, Australia
3 Upper Gastrointestinal Surgeon, Royal Prince Alfred Hospital, University of Sydney, Sydney, NSW, Australia
Address correspondence to:
Alen M Brodaric
50 Missenden Road, Camperdown, 2050 NSW,
Australia
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Article ID: 100117Z12AB2023
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Brodaric AM, Lau N-S, Sandroussi C. Gastric remnant perforation after single anastomosis gastric bypass. J Case Rep Images Surg 2023;9(1):9–12.ABSTRACT
Introduction: Acute perforation of gastric remnants after single anastomosis gastric bypass are scarcely reported in the literature. The leak of gastrointestinal contents into the abdomen increases morbidity and if not promptly recognized can lead to mortality from sepsis.
Case Report: A 42-year-old male developed abdominal pain and fever after laparoscopic removal of adjustable gastric band, hiatus hernia repair, and single anastomosis gastric bypass. Computed tomography showed evidence of viscus perforation, bowel obstruction, and intra-abdominal infection. Operative findings suggested bowel obstruction of the afferent small bowel loop led to perforation at the gastric remnant staple line which was repaired primarily.
Conclusion: Patients presenting with early sepsis after single anastomosis gastric bypass should be investigated with computed tomography. Gastrointestinal leaks should be promptly addressed with surgical washout, primary repair, and suture reinforcement.
Keywords: Anastomotic leak, Bariatric surgery, Gastric bypass, SAGB, Viscus perforation
SUPPORTING INFORMATION
Author Contributions
Alen M Brodaric - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Ngee-Soon Lau - Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Charbel Sandroussi - Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 Alen M Brodaric et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
