Christina Summerhays, Daniel Cottam, M.D., Austin Cottam

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Presentation transcript:

Internal hernia after revisional laparoscopic loop duodenal switch surgery Christina Summerhays, Daniel Cottam, M.D., Austin Cottam Surgery for Obesity and Related Diseases Volume 12, Issue 1, Pages e13-e15 (January 2016) DOI: 10.1016/j.soard.2015.08.510 Copyright © 2016 American Society for Bariatric Surgery Terms and Conditions

Fig. 1 A simple anatomy drawing of the loop duodenal switch. Common channel length is highlighted. A 40F bougie is also used. Surgery for Obesity and Related Diseases 2016 12, e13-e15DOI: (10.1016/j.soard.2015.08.510) Copyright © 2016 American Society for Bariatric Surgery Terms and Conditions

Fig. 2 This figure shows the highlighted mesenteric swirl that is only seen on coronal views. Of note is the larger diameter sleeve that is associated with a partial outlet obstruction at the duodenal ileostomy and the larger diameter reconstruction associated with reversal of laparoscopic Roux-en-Y gastric bypass to sleeve. Additionally, there is generalized edema throughout the small bowel mesentery. Surgery for Obesity and Related Diseases 2016 12, e13-e15DOI: (10.1016/j.soard.2015.08.510) Copyright © 2016 American Society for Bariatric Surgery Terms and Conditions

Fig. 3 This figure shows generalized mesenteric edema with the dilated sleeve and a single partially obstructed loop of bowel. Surgery for Obesity and Related Diseases 2016 12, e13-e15DOI: (10.1016/j.soard.2015.08.510) Copyright © 2016 American Society for Bariatric Surgery Terms and Conditions