Highlights
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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.
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References
- Closure of mesenteric defects in laparoscopic gastric bypass: a multicentre, randomised, parallel, open-label trial.Lancet Lond Engl. 2016; 387: 1397-1404
- Surgical management of enterolith ileus after Roux-en-Y gastric bypass.Surg Obes Relat Dis. 2017; 13: 1790-1792
- Management of biliary symptoms after bariatric surgery.Am J Surg. 2015; 210 (discussion 1016–7): 1010-1016
Article info
Publication history
Published online: September 25, 2020
Accepted:
September 17,
2020
Received:
September 7,
2020
Identification
Copyright
© 2020 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.
