Clinical Radiology
Volume 65, Issue 3 , Pages 246-249 , March 2010

MRI appearance of internal hernia following Roux-en-Y gastric bypass surgery in the pregnant patient

  • A.B. Rosenkrantz

      Affiliations

    • Department of Radiology, NYU Langone Medical center, 550 First Avenue, New York, NY 10016, USA
    • Corresponding Author InformationGuarantor and correspondent: A. Rosenkrantz, Department of Radiology, NYU Langone Medical Center, 550 First Avenue, New York, NY 10016, USA. Tel.: +1 212 263 0232; fax: +1 212 263 6634.
    • ,
  • M. Kurian

      Affiliations

    • Department of Surgery, NYU Langone Medical center, 550 First Avenue, New York, NY 10016, USA
    • ,
  • D. Kim

      Affiliations

    • Department of Radiology, NYU Langone Medical center, 550 First Avenue, New York, NY 10016, USA

,Revised 25 November 2009 ,Accepted 4 December 2009.

References 

  1. Lockhart ME, Tessler FN, Canon CL, et al. Internal hernia after gastric bypass: sensitivity and specificity of seven CT signs with surgical correlation and controls. AJR Am J Roentgenol. 2007;188:745–750
  2. Kakarla N, Dailey C, Marino T, et al. Pregnancy after gastric bypass surgery and internal hernia formation. Obstet Gynecol. 2005;105:1195–1198
  3. Efthimiou E, Stein L, Court O, et al. Internal hernia after gastric bypass surgery during middle trimester pregnancy resulting in fetal loss: risk of internal hernia never ends. Surg Obes Relat Dis. 2009;5:378–380
  4. Naef M, Mouton WG, Wagner HE. Small-bowel volvulus in late pregnancy due to internal hernia after laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2009;
  5. Ahmed AR, O'Malley W. Internal hernia with Roux loop obstruction during pregnancy after gastric bypass surgery. Obes Surg. 2006;16:1246–1248
  6. Blachar A, Federle MP, Dodson SF. Internal hernia: clinical and imaging findings in 17 patients with emphasis on CT criteria. Radiology. 2001;218:68–74
  7. Martin LC, Merkle EM, Thompson WM. Review of internal hernias: radiographic and clinical findings. AJR Am J Roentgenol. 2006;186:703–717
  8. Merkle EM, Hallowell PT, Crouse C, et al. Roux-en-Y gastric bypass for clinically severe obesity: normal appearance and spectrum of complications at imaging. Radiology. 2005;234:674–683
  9. Sandrasegaran K, Maglinte DD, Lappas JC, et al. Small-bowel complications of major gastrointestinal tract surgery. AJR Am J Roentgenol. 2005;185:671–681
  10. Bellanger DE, Ruiz JF, Solar K. Small bowel obstruction complicating pregnancy after laparoscopic gastric bypass. Surg Obes Relat Dis. 2006;2:490–492
  11. Torres-Villalobos GM, Kellogg TA, Leslie DB, et al. Small bowel obstruction and internal hernias during pregnancy after gastric bypass surgery. Obes Surg. 2008;
  12. Moore KA, Ouyang DW, Whang EE. Maternal and fetal deaths after gastric bypass surgery for morbid obesity. N Engl J Med. 2004;351:721–722
  13. Baker MT, Kothari SN. Successful surgical treatment of a pregnancy-induced Petersen's hernia after laparoscopic gastric bypass. Surg Obes Relat Dis. 2005;1:506–508
  14. Wang CB, Hsieh CC, Chen CH, et al. Strangulation of upper jejunum in subsequent pregnancy following gastric bypass surgery. Taiwan J Obstet Gynecol. 2007;46:267–271
  15. Charles A, Domingo S, Goldfadden A, et al. Small bowel ischemia after Roux-en-Y gastric bypass complicated by pregnancy: a case report. Am Surg. 2005;71:231–234
  16. Filip JE, Mattar SG, Bowers SP, et al. Internal hernia formation after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Am Surg. 2002;68:640–643
  17. Yu J, Turner MA, Cho SR, et al. Normal anatomy and complications after gastric bypass surgery: helical CT findings. Radiology. 2004;231:753–760
  18. Ahmed AR, Rickards G, Husain S, et al. Trends in internal hernia incidence after laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2007;17:1563–1566
  19. Blachar A, Federle MP, Brancatelli G, et al. Radiologist performance in the diagnosis of internal hernia by using specific CT findings with emphasis on transmesenteric hernia. Radiology. 2001;221:422–428
  20. Blachar A, Federle MP. Internal hernia: an increasingly common cause of small bowel obstruction. Semin Ultrasound CT MR. 2002;23:174–183
  21. Oto A. MR imaging evaluation of acute abdominal pain during pregnancy. Magn Reson Imaging Clin N Am. 2006;14:489–501vi
  22. Oto A, Ernst RD, Ghulmiyyah LM, et al. MR imaging in the triage of pregnant patients with acute abdominal and pelvic pain. Abdom Imaging. 2009;34:243–250

PII: S0009-9260(09)00421-8

doi: 10.1016/j.crad.2009.12.002

Clinical Radiology
Volume 65, Issue 3 , Pages 246-249 , March 2010

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