Abstract | BACKGROUND: METHODS: A 32-year-old, morbidly obese woman (initial body mass index, 53.3 kg/m(2)) presented with dumping syndrome 17 months after initial laparoscopic Roux-en-Y gastric bypass. She underwent nutritional counseling, strict diet modification, and medication treatment but failed. In addition, the patient complained of worsening constipation and insufficient weight loss (body mass index, 36 kg/m(2)). Laparoscopic revisional procedure with modified duodenal switch was conducted to relieve her intractable condition. RESULTS: The procedure took 260 min without any intraoperative complication. Blood loss was 100 mL The patient had an uneventful postoperative course and the postoperative hospital stay was 5 days. The uncomfortable symptoms relieved successfully after the revisional surgery. CONCLUSIONS: Though long-term follow-up is warranted to draw a definite conclusion, modified duodenal switch with pyloric restoration and shortening bowel length remains an acceptable revisional procedure to relive intractable dumping syndrome and constipation in our patient successfully.
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Authors | Chih-Kun Huang, Ming-Yu Wang, Ming-Che Hsin, Po-Chih Chang |
Journal | Obesity surgery
(Obes Surg)
Vol. 25
Issue 5
Pg. 946
(May 2015)
ISSN: 1708-0428 [Electronic] United States |
PMID | 25701270
(Publication Type: Case Reports, Journal Article)
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Topics |
- Adult
- Constipation
(surgery)
- Dumping Syndrome
(surgery)
- Duodenum
(surgery)
- Female
- Gastric Bypass
(methods)
- Humans
- Laparoscopy
(methods)
- Obesity, Morbid
(surgery)
- Postoperative Complications
(surgery)
- Reoperation
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