Cherry Fruit-Stem Stapled into J-J anastomoses during Roux-en-Y Gastric Bypass: A Case Report of a Rare Complication

Logan D Glosser, Alexander Young, Justin A. Smith, Conner V. Lombardi, Abdullah Alalwan, Motaz Al-yafi, Stephen M. Stanek
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Abstract

Cherry Fruit-Stem Stapled into J-J anastomoses during Roux-en-Y Gastric Bypass: A Case Report of a Rare Complication. Journal of Surgery and Research 5 (2022): 194-201. Abstract gastrointestinal bleeding, internal herniation, and marginal ulceration. No prior literature discusses intermittent obstructive symptoms secondary to a foreign body anchored by the anastomotic staples. Furthermore, there are currently no universal dietary guidelines for patients in the immediate pre-operative period with regard to avoiding certain foods that could get stapled during the anastomotic construction. Conclusion There are two main take-away lessons from this case. First, this case denotes an unusual complication following RYGB surgery requiring surgical intervention in which the stem of a cherry fruit was stapled into the JJ anastomosis causing obstruction-related intermittent abdominal pain. Second, there is a need for standardized guidelines to outline foods to avoid, such as cherries with a stem, leading up to the procedure.
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Roux-en-Y胃旁路术中樱桃果茎钉入J-J吻合口1例罕见并发症
Roux-en-Y胃旁路术中樱桃果茎钉入J-J吻合口1例罕见并发症。中华外科杂志5(2022):194-201。胃肠道出血,内部疝和边缘溃疡。先前没有文献讨论吻合钉固定异物继发的间歇性梗阻性症状。此外,对于手术前的患者,目前还没有通用的饮食指南来避免在吻合口构建过程中可能被钉住的某些食物。结论本案例主要有两点启示。首先,本病例显示RYGB手术后的不寻常并发症,需要手术干预,其中樱桃果茎被钉入JJ吻合口,导致梗阻相关的间歇性腹痛。其次,有必要制定标准化的指导方针,列出在手术前要避免的食物,比如带茎的樱桃。
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