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Internal Hernia Following Primary Laparoscopic SADI-S: the First Reported Case

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Abstract

Background

Internal hernias have not been reported with primary laparoscopic single anastomosis duodeno-ileostomy with sleeve gastrectomy (LSADI-S). This is the first reported case of an internal hernia following primary LSADI-S and its surgical treatment.

Case Presentation

In this video case report, we present a case of a 54-year-old woman with a BMI of 53 kg/m2 who had undergone a primary LSADI-S for morbid obesity. The patient underwent an exploratory laparoscopy for chronic nausea and bile reflux. At surgery, we discovered a Petersen’s hernia defect, which was corrected by untwisting the bowel and sewing the space closed (video). A Braun enteroenterostomy was also performed.

Conclusions

An internal hernia following LSADI-S is rare, despite the unclosed space behind the small bowel mesentery. If they occur, they should not cause ischemia and can be fixed easily using a laparoscopic surgical approach with good postoperative outcomes.

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References

  1. Surve A, Cottam D, Sanchez-Pernaute A, et al. The incidence of complications associated with loop duodeno-ileostomy after single-anastomosis duodenal switch procedures among 1328 patients: a multicenter experience. Surg Obes Relat Dis. 2018;14(5):594–601.

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Authors and Affiliations

  1. Bariatric Medicine Institute, 1046 East 100 South, Salt Lake City, UT, 84102, USA

    Amit Surve, Daniel Cottam & Benjamin Horsley

Authors
  1. Amit Surve
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  2. Daniel Cottam
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  3. Benjamin Horsley
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Correspondence to Daniel Cottam.

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Conflict of Interest

Daniel Cottam, the corresponding author, reports personal fees and other from Medtronic and GI Windows, outside the submitted work. All other authors have no conflicts of interest to declare.

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Surve, A., Cottam, D. & Horsley, B. Internal Hernia Following Primary Laparoscopic SADI-S: the First Reported Case. OBES SURG 30, 2066–2068 (2020). https://doi.org/10.1007/s11695-020-04444-0

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  • DOI: https://doi.org/10.1007/s11695-020-04444-0

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