Obesity surgery
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Laparoscopic Roux-en-Y gastric bypass (LRYGBP) is associated with a relatively high incidence of internal hernias (IH) when compared to the open operation. ⋯ IH after LRYGBP has an incidence of 2.51%. Closure of mesenteric defects with non-absorbable running suture and antecolic Roux limb are recommended. Surgical exploration for suspicion of IH after LRYGBP should be first done by laparoscopy.
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Comment Letter Case Reports
Intractable nausea and vomiting following Roux-en-Y gastric bypass: role of mirtazapine.