Introduction: Internal hernias (IHs) occur more frequently in laparoscopic gastric bypass (LGB) surgery than in the classic open procedure. The incidence of small bowel obstruction after LGB ranges from 1.8% and 9.7%. Some have theorized that this occurs because of decreased adhesion formation.
Methods: The mesenteric irritation technique is performed after closure of the jejunojejunal mesenteric defect with a running 2-0 silk suture. A sponge is then rubbed against the closed visceral peritoneal mesentery until petechiae are visualized on the surface of the mesentery.
Results: In all, 338 LGBs were performed using the standard closure technique with an IH incidence of 5.3% (range 1.7% to 7.8%). When using the mesenteric irritation technique, 72 LGBs were performed with an IH rate of 1.4% (P = .13).
Conclusions: Mesenteric irritation is a novel technique performed with minimal additional time and no additional equipment. This technique may prove beneficial in reducing the incidence of IHs.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.amjsurg.2013.12.018 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Portal venous gas complication following coronary angiography: A case report.
World J Radiol
October 2024
Department of Cardiovascular Medicine, Second Hospital of Jiaxing University, Jiaxing 314000, Zhejiang Province, China.
Background: Portal vein gas (PVG) is an abnormal accumulation of gas within the portal and intrahepatic portal veins. It is associated with various abdominal diseases, ranging from benign conditions to life-threatening ones that require immediate surgical intervention. Coronary angiography is the standard diagnostic procedure for coronary artery disease.
View Article and Find Full Text PDFUnexpected Foreign Body-Induced Small Bowel adenocarcinoma: A Case Report.
J Inflamm Res
September 2024
Department of Gastrointestinal Surgery, Shaoxing People's Hospital, Shaoxing, Zhejiang Province, 312000, People's Republic of China.
Background: Foreign body-induced cancer is a traditional way of understanding cancer development. The induction of cancers by exogenous foreign bodies has been identified in many organs. However, small bowel adenocarcinoma induced by foreign bodies has not been reported in the literature, although the incidence of small bowel adenocarcinoma is increasing globally.
View Article and Find Full Text PDFComparison of reperfusion- and central repair-first strategies for acute type A dissection with mesenteric malperfusion: a single-center retrospective cohort study.
Int J Surg
October 2024
Departments of Cardiovascular Surgery and Cardiology, Henan Chest Hospital, Zhengzhou University, Zhengzhou, China.
Article Synopsis
- The study compares outcomes of two treatment strategies—reperfusion-first (with SMA stenting) and central repair-first—in patients with acute type A dissection complicated by mesenteric malperfusion.
- Among 68 patients, results show that the reperfusion-first strategy led to significantly lower early mortality (19.4% vs. 48.6%) and fewer gastrointestinal and respiratory complications.
- Five years later, reperfusion-first patients had better survival rates (80.6% vs. 45.9%) and similar rates of adverse events, supporting this strategy as beneficial for ATAAD patients with mesenteric issues.
Emergency rescue of a patient with hemorrhagic shock caused by superior mesenteric artery rupture: A case report.
World J Clin Cases
June 2024
Nursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310020, Zhejiang Province, China.
Background: Superior mesenteric artery (SMA) injuries rarely occur during blunt abdominal injuries, with an incidence of < 1%. The clinical manifestations mainly include abdominal hemorrhage and peritoneal irritation, which progress rapidly and are easily misdiagnosed. Quick and accurate diagnosis and timely effective treatment are greatly significant in managing emergent cases.
View Article and Find Full Text PDFIdiopathic superior mesenteric venous thrombosis requiring bowel resection: a report of four cases.
Surg Case Rep
May 2024
Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba , Japan, Ibaraki, 305-8575.
Background: Superior mesenteric venous thrombosis (SMVT) is mostly treated with anticoagulation therapy; however, SMVT can lead to irreversible bowel ischemia and require bowel resection in the acute or subacute phase.
Case Presentation: We report four cases of SMVT that required careful observation and bowel resection. Case 1: A 71-year-old man presented with abdominal pain, diarrhea, and vomiting that showed a completely occluded SMV with thrombus and small bowel ischemia.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!