Early XXXX after laparoscopic gastric bypass.

@entity1 @entity548 @entity6552 @entity254 @entity1344 @entity551 @entity360
BACKGROUND: Early gastrointestinal (GI) @entity548 after open gastric bypass has been infrequently reported. The aim of this study was to examine the incidence of early @entity360 after laparoscopic Roux-en-Y gastric bypass (LRYGBP), its presentation, and possible treatment options. METHODS: A retrospective review of 5 @entity1 who developed early postoperative @entity360 after LRYGBP was performed. The charts were reviewed for demographics, clinical presentation, diagnostic evaluation, and treatment. All @entity1 underwent a transected LRYGBP with creation of the @entity254 with a circular stapler and the jejunojejunostomy @entity254 with a linear stapler. RESULTS: Of the 155 @entity1 in our database who underwent LRYGBP, 5 (3.2%) developed early clinical @entity360 . There were 2 males with an average age of 40 years. Clinical presentations of @entity360 were @entity6552 (2 @entity1 ), bright red blood per rectum (1 @entity1 ), melena (1 @entity1 ), and @entity551 (1 @entity1 ). A diagnostic study (nuclear scintigraphy) was performed in only 1 of 5 @entity1 . 3 of 5 @entity1 were managed nonoperatively; 2 @entity1 required fluid and blood resuscitation, and the other @entity1 was managed without blood transfusion. The onset of @entity548 in these 3 @entity1 occurred 24 hours postoperatively or later. 2 of 5 @entity1 required operative intervention for control of @entity548 . The onset of @entity548 or @entity551 in these 2 @entity1 occurred within 12 hours after surgery. The sites of @entity548 were at the gastric remnant staple-lines in 1 @entity1 and at the gastrojejunostomy and gastric remnant staple-lines in the other @entity1 . CONCLUSION: Early @entity360 is a potential complication after transected LRYGBP. Early reoperative intervention should be performed for @entity1 with @entity1344 and @entity1 with early onset of @entity548 after surgery.
