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 UNUSUAL CASE
Year : 2018  |  Volume : 14  |  Issue : 1  |  Page : 58-60

Surgery and considerations for the repair of Petersen's space hernia after mini gastric bypass


Department of Gastrointestinal Surgery, Complejo Hospitalario Universitario Insular-Materno Infantil, Avenida Marítima Del Sur, Las Palmas De Gran Canaria, Spain

Correspondence Address:
Dr. Borja Camacho Fernández-Pacheco
Albareda 38 9°E 35008 Las Palmas De Gran Canaria
Spain
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmas.JMAS_133_17

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This paper reports a case of Petersen's space hernia after mini gastric bypass. This is an anecdotal post-operative complication in the mini gastric bypass technique, with an estimated rate of 1/5000 cases. Similar cases described in the literature were treated by the surgical hernia reduction and the closure of the mesenteric defect. Our patient had a unique management, performing a conversion to Roux-en-Y gastric bypass with dissection of the biliopancreatic limb at the anastomosis and creation of a variable foot-point anastomosis with excellent mid-term post-operative results. This should provide better long-term results as compared to simple mesenteric closure, avoiding the complications of mini gastric bypass technique.






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