Dato21. aug 2017
Ugeskr Læger 2017;179:V02170142
Acute impact of the small intestine in a patient after gastric bypass surgery and alcohol intake
This case recounts the management of a patient, who had previously undergone laparoscopic gastric bypass surgery and was admitted with sudden onset of severe abdominal pain. A CT suggested acute ischaemia of the Roux limb. A normal diagnostic laparoscopy was performed, and a subsequent upper endoscopy showed a severely inflamed Roux limb. The patient had accidentally ingested a single glass of strong liquor. Endoscopy a month after discharge was normal. This case suggests a link between intake of strong liquor and local inflammation of the Roux limb.