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B-1224 - CT imaging features of internal hernia: post Roux-en-Y gastric Bypass - our experience in an Indian tertiary care setup

K. Sikund, G. Aggarwal; New Delhi/IN Type: Scientific Paper
Area of Interests: Gastrointestinal tract, Abdomen
Imaging Technique: CT
Procedures: Contrast agent-intravenous, Contrast agent-oral
Special Focus: Hernia
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Purpose: Morbid obesity poses a major health problem in developing countries with rising prevalence. Various surgical restrictive procedures have gained popularity, with laparoscopic Roux-en-Y gastric bypass (LRYGB) being the most frequently performed surgery [1]. A recognized long-term complication of the L[...]

Methods and materials: In our study, data was collected retrospectively of post bariatric laparoscopic RYGB patients from 2009 to 2014. Total of 40 patients presented with symptoms of abdominal pain, distention and vomiting and a strong clinical suspicion of internal hernia suggested by history of left sided pain, colicky[...]

Results: Laparoscopy confirmed presence of internal hernia in all twenty-one patients, with five cases (24%) showing Petersen’s defects, ten (48%) mesenteric defects and six (28%) combined defects. Retrospectively, preoperative CT images of all the twenty-one cases were evaluated and diagnosis of IH was give[...]

Conclusion: LRYGB involves a rearrangement of anatomy of the gastrointestinal tract. CT anatomy in patients who have undergone laparoscopic Roux-en-Y gastric bypass is not straightforward; appearance is shown Fig. 7 . The surgery involves creation of a small gastric pouch, the gastric pouch is anastomosed to a [...]

Personal information: Dr. Kunal Sikund Senior Resident Department of Radiodiagnosis Maulana Azad Medical College and Associated Lok Nayak ,G B Pant and G.N.E.C hospitals New Delhi-110002   Dr. Gyaneesh Aggarwal Consultant Department of Radiodiagnosis Max Superspeciality Hospital Delhi  

References: 1. Lee WJ, Yu PJ, Wang W, Chen TC, Wei PL, Huang MT. Laparoscopic Roux-en-Y versus mini-gastric bypass for the treatment of morbid obesity: a prospective randomized controlled clinical trial. Annals of surgery. 2005 Jul 1;242(1):20-8. 2. Frrebo MB, Sommer T. Leakage and internal herniation are the[...]

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