Advertisement

Small bowel obstruction secondary to gallstone migration from duodenal diverticulum after gastric bypass

Published:September 25, 2020DOI:https://doi.org/10.1016/j.soard.2020.09.032

      Highlights

      • Gallstone in a duodenal diverticulum is probably secondary to changes in the enterohepatic bile cycle and anatomy induced by the RYGB. The migration of the stone from the duodenal diverticulum is responsible of the small bowel obstruction. The combination of abdominal pain, duodenal diverticulum and history of RYGB should be investigated for a biliary complication of the diverticulum.

      Key words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Surgery for Obesity and Related Diseases
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Stenberg E.
        • Szabo E.
        • Ågren G.
        • et al.
        Closure of mesenteric defects in laparoscopic gastric bypass: a multicentre, randomised, parallel, open-label trial.
        Lancet Lond Engl. 2016; 387: 1397-1404
        • Ortega C.B.
        • Gutnick J.
        • Guerron A.D.
        Surgical management of enterolith ileus after Roux-en-Y gastric bypass.
        Surg Obes Relat Dis. 2017; 13: 1790-1792
        • Brockmeyer J.R.
        • Grover B.T.
        • Kallies K.J.
        • Kothari S.N.
        Management of biliary symptoms after bariatric surgery.
        Am J Surg. 2015; 210 (discussion 1016–7): 1010-1016