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dc.contributor.authorREYNOLDS, JOHNen
dc.contributor.authorRAVI, NARAYANASAMYen
dc.date.accessioned2012-01-25T14:56:55Z
dc.date.available2012-01-25T14:56:55Z
dc.date.issued2011en
dc.date.submitted2011en
dc.identifier.citationLarkin JO, Cooke F, Ravi N, Reynolds JV, Internal hernia following total gastrectomy with Roux-en-Y reconstruction., Annals of the Royal College of Surgeons of England, 93, 6, 2011, e71-3en
dc.identifier.issn0035-8843en
dc.identifier.otherYen
dc.identifier.urihttp://hdl.handle.net/2262/61834
dc.descriptionPUBLISHEDen
dc.description.abstractInternal herniation is a well-described complication after a gastric bypass, particularly when performed laparoscopically, although it is rarely described following a total gastrectomy. A 55-year-old lady presented with a 24-hour history of vomiting and rigors 10 months after a radical total gastrectomy with Roux-en-Y reconstruction for a gastric adenocarcinoma. Computed tomography (CT) showed a complete small bowel obstruction and a mesenteric swirl sign, indicating a possible internal hernia. The entire small bowel was found at laparotomy to have migrated through the mesenteric defect adjacent to the site of the previous jejunojejunostomy and was dark purple and aperistaltic. The small bowel was reduced through the defect. At a second laparotomy, the small bowel looked healthy and the defect was repaired. Postoperative recovery was unremarkable. Of numerous signs described, the mesenteric swirl sign is considered the best indicator on CT of an internal hernia following Roux-en-Y reconstruction in gastric bypass surgery. A swirl sign on CT in a patient with abdominal pain should always raise the suspicion of an internal hernia.en
dc.format.extente71-3en
dc.language.isoenen
dc.relation.ispartofseriesAnnals of the Royal College of Surgeons of Englanden
dc.relation.ispartofseries93en
dc.relation.ispartofseries6en
dc.rightsYen
dc.subjectSurgeryen
dc.subjectInternal herniationen
dc.titleInternal hernia following total gastrectomy with Roux-en-Y reconstruction.en
dc.typeJournal Articleen
dc.type.supercollectionscholarly_publicationsen
dc.type.supercollectionrefereed_publicationsen
dc.identifier.peoplefinderurlhttp://people.tcd.ie/reynoljven
dc.identifier.peoplefinderurlhttp://people.tcd.ie/ravinen
dc.identifier.rssinternalid77418en
dc.identifier.doihttp://dx.doi.org/10.1308/147870811X590333en
dc.subject.TCDThemeCanceren


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