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Authors Rundall BK, Denlinger CE, Parrino GP, Foley EF, Jones DR
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Journal J. Gastrointest. Surg. Volume: 9 Issue: 7 Pages: 938-40
Publish Date 2005 Sep-Oct
PubMed ID 16137588

Gastric pouch necrosis and intraabdominal sepsis is an uncommon complication following laparoscopic gastric bypass. The intraoperative management of this complication centers on resection of the necrotic pouch, esophageal diversion, drainage, and enteral access for nutrition. Reestablishing gastrointestinal continuity at a later surgery following this complication can be challenging. We present a case in which the colon was found to be unacceptable for use in reconstruction; the remaining stomach was used as the conduit for a transhiatal reconstruction of gastrointestinal continuity instead. Copyright © 2016 The Board of Regents of the University of Wisconsin System