Department of Surgery A, Emek Medical Center, 21 Izhak Rabin Blvd, 1834111, Afula, Israel.
The Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Obes Surg. 2020 Dec;30(12):5184-5185. doi: 10.1007/s11695-020-04992-5. Epub 2020 Sep 21.
Small bowel obstruction due to internal hernia (IH) is a well-known late complication of laparoscopic Roux-en-Y gastric bypass (LRYGB). A reliable and immediate diagnosis of IH is important for optimal and timely management of patients with a history of LRYGB. Mesenteric defects that are created during a LRYGB include the following: (1) through the transverse mesocolon defect, (2) through the entero-enterostomy mesenteric defect, and (3) through the space between the mesentery of Roux limb and transverse mesocolon (Petersen's space). The aim of this case is to present an unusual variant of IH after LRYGB that was laparoscopically explored and treated.
由于内疝（IH）导致的小肠梗阻是腹腔镜 Roux-en-Y 胃旁路术（LRYGB）的一种已知的晚期并发症。对于 LRYGB 病史患者，可靠且及时的 IH 诊断对于优化和及时的管理非常重要。LRYGB 过程中形成的肠系膜缺陷包括以下几种：（1）穿过横结肠系膜的缺陷，（2）穿过肠肠吻合术的肠系膜缺陷，以及（3）穿过 Roux 支和横结肠系膜之间的空间（Petersen 间隙）。本病例旨在介绍 LRYGB 后腹腔镜探查和治疗的 IH 一种不常见的变异型。
