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Internal hernias in pregnant women with history of gastric bypass surgery: Case series and review of literature

dc.creatorFernando Ayala Aguilera
dc.date2013
dc.date.accessioned2018-10-18T21:51:03Z
dc.date.available2018-10-18T21:51:03Z
dc.identifier.issn22102612
dc.identifier.doi10.1016/j.ijscr.2012.10.006
dc.identifier.urihttp://hdl.handle.net/11285/630494
dc.descriptionINTRODUCTION: Gastric bypass surgery is the most common obesity surgery procedure in women. Decreased weight loss favors fertility and leads to pregnancy sometimes just months after surgery, raising the risk of developing gastric bypass-related complications during pregnancy, including the formation of internal hernias. PRESENTATION OF CASE: The first patient presented at 37 weeks of gestation with abdominal pain, nausea and vomiting. X-ray revealed multiple air-fluid levels and absence of gas in colon. She underwent a cesarean section and exploratory laparotomy without complications. A Petersen's space internal hernia was found. The second patient presented at 25 weeks of gestation with abdominal pain and nausea. X-ray revealed multiple air-fluid levels and a "U-shaped" intestinal loop. She underwent exploratory laparotomy with reduction of an internal hernia also in Petersen's space. DISCUSSION: Pregnant patients with internal hernias after gastric bypass are usually of young age and with a several-day history of abdominal pain. Surgical exploration is safe and should not be delayed. The literature review showed that maternal death (9%) and fetal death (13.6%) rates are considerably high. CONCLUSION: The possibility of an internal hernia should always be considered in pregnant women with history of gastric bypass who present with abdominal pain, in order to prevent catastrophic outcomes such as maternal and/or fetal death. © 2012 Surgical Associates Ltd. All rights reserved.
dc.languageeng
dc.relationhttps://www.scopus.com/inward/record.uri?eid=2-s2.0-84867776153&doi=10.1016%2fj.ijscr.2012.10.006&partnerID=40&md5=5a9bab4eb2d45f6bfb386b9f6c1dc65f
dc.relationInvestigadores
dc.relationEstudiantes
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0
dc.sourceInternational Journal of Surgery Case Reports
dc.subjectanalgesic agent
dc.subjectspasmolytic agent
dc.subjectabdominal pain
dc.subjectabdominal surgery
dc.subjectadult
dc.subjectanalgesia
dc.subjectApgar score
dc.subjectbariatric surgery
dc.subjectcase report
dc.subjectcase study
dc.subjectcesarean section
dc.subjectclinical article
dc.subjectfemale
dc.subjectfetus death
dc.subjectgestational age
dc.subjecthuman
dc.subjectinternal hernia
dc.subjectlaparotomy
dc.subjectmaternal care
dc.subjectmaternal mortality
dc.subjectnausea
dc.subjectpatient safety
dc.subjectpregnant woman
dc.subjectpriority journal
dc.subjectreview
dc.subjectRoux Y anastomosis
dc.subjectstomach bypass
dc.subjectvomiting
dc.subjectX ray
dc.subject.classification7 INGENIERÍA Y TECNOLOGÍA
dc.titleInternal hernias in pregnant women with history of gastric bypass surgery: Case series and review of literature
dc.typeArtículo
dc.identifier.volume4
dc.identifier.issue1
dc.identifier.startpage44
dc.identifier.endpage47
refterms.dateFOA2018-10-18T21:51:03Z


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