Gallstone Ileus after Bariatric Gastric Bypass

Authors

Rachel Yoo, Department of Surgery, Reading Hospital - Tower Health, West Reading, PAFollow
Aaron Hechtman DO, Department of Surgery, Tower Health Weight Loss Surgery and Wellness Center, Reading Hospital, Wyomissing, PAFollow
Sigrid Williamson, Department of Surgery, Reading Hospital - Tower Health, West Reading, PAFollow

Document Type

Abstract

Publication Date

6-1-2024

Abstract

RACHEL YOO READING PA¹, Aaron Hechtman Wyomissing PA¹, Sigrid Williamson West Reading PA¹, Charles Wen Reading PA²Reading Hospital¹ Drexel University College of Medicine² Small bowel obstruction due to gallstone ileus is a rare complication of bariatric surgery. A 51-year-old female with a history of gastric bypass 18 years prior presented to the emergency department with three days of persistent nausea, vomiting, and distension. CT imaging on admission found a high grade, small bowel obstruction with transition point likely in the right lower quadrant and with pneumobilia. The patient was taken to the operating room for an exploratory laparotomy. A 5.0 x 3.2 x 2.9 cm gallstone was extracted via enterolithotomy with stone extraction. The patient’s post-operative course was complicated by a perihepatic abscess. After rapid weight loss status post bariatric surgery, patients have an increased risk of biliary disease – most commonly being symptomatic cholelithiasis and acute cholecystitis. However, gallstone ileus is a rare complication and can be difficult to diagnose, which delays prompt surgical management. Therefore, there must be continued vigilance in recognizing biliary disease including gallstone ileus in the gastric bypass patients and preventing complications of biliary disease within the bariatric surgery population.

Publication Title

Surgery for Obesity and Related Diseases

Volume

20

Issue

6 Supplement

First Page

S73

Last Page

S73

Comments

40TH ANNUAL MEETING OF THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY held 2024-06-09 to 2024-06-13 in San Diego, US.

Recommended Citation

Yoo, R., Hechtman, A., & Williamson, S. (2024). Gallstone Ileus after Bariatric Gastric Bypass. Surgery for Obesity and Related Diseases, 20 (6 Supplement), S73-S73. https://doi.org/https://doi.org/10.1016/j.soard.2024.04.233