Hepatic portal gas due to gastro-jejunal anastomotic leak after laparoscopic gastric bypass

Obes Surg. 2005 Feb;15(2):278-81. doi: 10.1381/0960892053268480.

Abstract

Gastrointestinal complications after laparoscopic Roux-en-Y gastric bypass (LRYGBP) are not uncommon. Leakage of the gastro-jejunal anastomosis is the main early surgical complication of LRYGBP. Hepatic portal venous gas (HPVG) has been described in association with a variety of pathologic conditions. HPVG is a potentially life-threatening condition due to its etiology, with a global survival rate of <25%. We present a case of gastro-jejunal anastomotic leak associated with HPVG after LRYGBP.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anastomosis, Roux-en-Y / adverse effects
  • Female
  • Follow-Up Studies
  • Gastric Bypass / adverse effects*
  • Gastric Bypass / methods
  • Humans
  • Jejunum / surgery
  • Laparoscopy / adverse effects*
  • Laparoscopy / methods
  • Laparotomy
  • Obesity, Morbid / diagnosis
  • Obesity, Morbid / surgery*
  • Pneumoperitoneum / diagnostic imaging
  • Pneumoperitoneum / etiology*
  • Portal Vein / diagnostic imaging
  • Postoperative Complications / diagnostic imaging*
  • Postoperative Complications / physiopathology
  • Reoperation
  • Risk Assessment
  • Stomach / surgery
  • Tomography, X-Ray Computed
  • Treatment Outcome