Complications Of Ree-En-Y Bypass: A Case Study

3- Complications of Roux-en-Y Bypass:
Table: Incidence and timings of postoperative complications after LRYGB
Complication Incidence (%) Timing (early 1 month)
GI bleed 1–2 Early
Leak 1–2 Early/intermediate
Ulcers and GG fistula 4 Late
GI obstruction 5 Late but may occur early/intermediate
Thromboembolism 0.1–1.3 Early/intermediate
Skin complications variable Late
Nutritional complications (of some degree) variable Late
Metabolic complications variable Intermediate/late
Cholelithiasis 7–10 Late

Table “Symptom sorter”: alst of the common symptoms and their causes to aid diagnosis
Tachycardia Hypotension Abdominal pain Pyrexia Nausea and vomiting
GI bleed GI bleed GI bleed Leak Ulcer/fistula …show more content…
Associated abdominal fluid collections and subphrenic abscesses occur in less than 2% of cases, but carry a high morbidity and mortality. b- Obstruction:
Table 23.5 Incidence of the different causes of SBO after LRYGB [ 34 ]
Cause Incidence (%) of all SBO
Internal hernia 53.9
Roux limb stricture 20.5
Adhesions 13.7
Angulation at entero-enterostomy 6.8
Port-site hernia 1.9 Fig. Diagnosis and management algorithm for small bowel obstruction post gastric bypass
c-Internal