Achados tomográficos das alterações abdominais pós-operatórias dos pacientes submetidos ao derivação gastrojejunal em Y-de-Roux sem anel

Abstract

CT CT CT CT findings in patients submitted to findings in patients submitted to findings in patients submitted to findings in patients submitted to findings in patients submitted to Roux-en-y gastric bypass without ring Roux-en-y gastric bypass without ring Roux-en-y gastric bypass without ring Roux-en-y gastric bypass without ring Roux-en-y gastric bypass without ring Achados tomográficos das alterações abdominais pós-operatórias dos pacientes Achados tomográficos das alterações abdominais pós-operatórias dos pacientes Achados tomográficos das alterações abdominais pós-operatórias dos pacientes Achados tomográficos das alterações abdominais pós-operatórias dos pacientes Achados tomográficos das alterações abdominais pós-operatórias dos pacientes submetidos ao derivação gastrojejunal em Y-de-Roux sem anel submetidos ao derivação gastrojejunal em Y-de-Roux sem anel submetidos ao derivação gastrojejunal em Y-de-Roux sem anel submetidos ao derivação gastrojejunal em Y-de-Roux sem anel submetidos ao derivação gastrojejunal em Y-de-Roux sem anel FERNANDA We studied 40 CT exams from patients attended at the radiology service with the intention to clarify abdominal complains. The patients were in post-bariatric surgical follow-up and were operated in the same hospital. We excluded patients who had undergone bariatric surgery by other surgical techniques, operated by another surgical team and the ones who did not agree with the administration of oral or intravenous iodinated contrast media and exceeding the weight limit of the examination table. Results Results ResultsResults Results: The patients were aged from 23 to 70 years, 11 male and 29 female. There were no extra-abdominal changes, and 30 of the 40 patients had CT findings within normal limits. The presence of stenosis at the gastrojejunal anastomosis was found in one patient, internal hernias occurred in five, anastomotic leak in one and the presence of abscess occurred in three of patients. ConclusionConclusion Conclusion Conclusion Conclusion: Total abdominal CT failed to inform the cause of the symptoms in 87.5% of patients seeking medical re-evaluation for symptoms of post-operative bariatric surgery. Due to the need for more effective intervention in the clinical management of severe obesity, the indications for bariatric operations have been growing 5 . The surgical treatment for severe obesity has been employed for nearly half a century. It began in the 1950s with operations that caused malabsorption, abandoned in the late 1970s due to their serious side effects. From then on, procedures that limit food intake began to dominate, either by simply restricting the capacity of the stomach, or by its division and anastomosis to the proximal jejunum 6 . Among the surgical techniques currently considered for treatment of morbid obesity, Roux-en-Y gastric bypass is widely used 2,6,7 . With the increase in the frequency of bariatric operations, it is necessary that the radiologist must be aware The postoperative radiological study, the survey of complications an...