López CJA, Guzmán CF, García GJJ, Salgado RAS, Encinas VJR

Language: Spanish
References: 9
Page: 126-130
PDF size: 250.20 Kb.

ABSTRACT

Introduction: Roux-en-Y gastrojejunal bypass is a safe and effective procedure in the treatment of obesity and metabolic syndrome; however, there are complications that will require surgical reoperation in up to 25% of the cases. These events are divided into early and late complications. Some will require reversal surgery (restore the original anatomy). Malnutrition is the cause that most frequently requires reversal surgery, which can occur due to several factors. The objective of this presentation is to describe that the modified Branco-Zorron technique is a surgical option for the complications of gastrojejunal bypass that require reversion such as malnutrition and severe anemia. Case report: This is a 51-year-old male patient with a postoperative gastrojejunal bypass in Y de Roux in 2016 due to morbid obesity and metabolic syndrome. Six months after the surgery, she started with anemia and severe malnutrition without proper response to medical management even requiring multiple transfusions for 18 months. It was evaluated by a multidisciplinary group who diagnosed macrocytic anemia, of aregenerative type, secondary to a malabsorptive surgical procedure. Based on the above, surgical reoperation was decided to revert the gastrojejunal bypass and thus improve his quality of life. Conclusions: Reversal surgery of a Roux-en-Y gastrojejunal bypass, due to complications, implies a great surgical challenge due to the technical difficulties and a high rate of morbidity and mortality. In this case, a successful reversion of the gastrojejunal bypass with improvement of the clinical state was achieved.

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