Nausea, bloating and abdominal pain in the Roux-en-Y gastric bypass patient: More questions than answers

G. Anton Decker, John K. DiBaise, Jonathan A. Leighton, James M. Swain, Michael D. Crowell

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

Bariatric surgery is the most effective treatment for severe obesity. After surgery, patients may complain of gastrointestinal symptoms but their altered anatomy can make investigations difficult to perform or interpret. In particular, the Roux-en-Y gastric bypass (RYGBP) creates an excluded segment that is not easily accessible. We present a case illustrating some of the difficulties encountered when investigating the RYGBP patient complaining of nonspecific GI symptoms. Options are discussed for examining the excluded segment, and the diagnosis and significance of small intestine bacterial overgrowth in the RYGBP patient is reviewed.

Original languageEnglish (US)
Pages (from-to)1529-1533
Number of pages5
JournalObesity Surgery
Volume17
Issue number11
DOIs
StatePublished - Nov 1 2007

Keywords

  • Abdominal pain
  • Bacteria
  • Bariatric surgery
  • Bloating
  • Double balloon endoscopy
  • Obesity

ASJC Scopus subject areas

  • Surgery
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

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