Palepu Rajendra P, Harmon Carroll M, Goldberg Steven P, Clements Ronald H
Section of Gastrointestinal Surgery, Department of Surgery, The University of Alabama at Birmingham, KB404 1530 3rd Avenue South, Birmingham, AL 35294, USA.
J Gastrointest Surg. 2007 Jul;11(7):898-902. doi: 10.1007/s11605-006-0035-5.
Four morbidly obese women who met the NIH criteria for bariatric surgery had laparoscopic Roux-en-Y gastric bypass. At operation, each was found to have intestinal malrotation. Two cases were completed laparoscopically, and two were converted to open operation because of difficulty defining the anatomy. All four operations were successful with no immediate complications and patients tolerated the procedures well. We present the four cases and offer recommendations should this unusual congenital defect be discovered at the time of laparoscopic gastric bypass.
四名符合美国国立卫生研究院（NIH）减肥手术标准的病态肥胖女性接受了腹腔镜Roux-en-Y胃旁路手术。手术时，发现她们均存在肠旋转不良。两例手术通过腹腔镜完成，另外两例因难以明确解剖结构而转为开放手术。所有四例手术均成功，无即刻并发症，患者对手术耐受性良好。我们展示这四个病例，并就腹腔镜胃旁路手术时发现这种不寻常的先天性缺陷提出建议。
