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Laparoscopic repair of internal hernia during pregnancy after Roux-en-Y gastric bypass

      Laparoscopic Roux-en-Y gastric bypass as a treatment of severe obesity has increased dramatically in the past decade, and most of the patients have been women [
      • Buchwald H.
      • Avidor Y.
      • Braunwald E.
      • et al.
      Bariatric surgery: a systematic review and meta-analysis.
      ,
      • Pope G.D.
      • Birkmeyer J.D.
      • Finlayson S.R.
      National trends in utilization and in-hospital outcomes of bariatric surgery.
      ]. The health risks experienced by obese women during pregnancy can be reduced by the weight loss induced by bariatric surgery [
      • Karmon A.
      • Sheiner E.
      Pregnancy after bariatric surgery: a comprehensive review.
      ,
      • Abodeely A.
      • Roye G.D.
      • Harrinton D.T.
      • Cioffi W.G.
      Pregnancy outcomes after bariatric surgery: maternal, fetal and infant implications.
      ,
      • Maggard M.A.
      • Yermilov I.
      • Li Z.
      • et al.
      Pregnancy and fertility following bariatric surgery: a systematic review.
      ], but these patients are at risk of bariatric surgical complications during their pregnancies. Women who have undergone Roux-en-Y gastric bypass for morbid obesity are at risk of internal hernias, intussusception, and small bowel obstruction during pregnancy, which can lead to maternal and/or fetal death [
      • Moore K.A.
      • Ouyang D.W.
      • Whang E.E.
      Maternal and fetal deaths after gastric bypass surgery for morbid obesity.
      ]. We report the cases of 4 patients with a history of gastric bypass who presented with internal hernias during their pregnancy.

      Keywords

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