| Autor: |
Melissa M, Felinski, Daniyal, Abbas, Peter A, Walker, John A, Primomo, Tanyaradzwa M, Kajese, Biswajit, Kar, Igor D, Gregoric, Igor, Banjac, Lisa, Janowiak, Sriram, Nathan, Rahat, Hussain, Sheilendra S, Mehta, Kulvinder S, Bajwa, Shinil K, Shah, Bindu, Akkanti |
| Rok vydání: |
2021 |
| Předmět: |
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| Zdroj: |
J Extra Corpor Technol |
| ISSN: |
0022-1058 |
| Popis: |
Roux-en-y gastric bypass (RYGB) is one of the most common weight loss surgical procedures performed in the United States. Early post-operative small bowel obstruction is a rare but potentially morbid, complication of RYGB. We report two patients who underwent RYGB and required subsequent treatment for a post-operative small bowel obstruction. Their post-operative course was complicated by severe aspiration pneumonitis leading to hypoxemic respiratory failure requiring rescue with femoral veno-venous extracorporeal membrane oxygenation (V-V ECMO). Both patients were successfully extubated, weaned off V-V ECMO support, and discharged to home. These cases highlight the potential role of V-V ECMO for patients who have undergone RYGB and develop severe aspiration pneumonitis. They also highlight the need for cautionary use of gastrografin in RYGB patients. Early engagement of a multidisciplinary team experienced with adult ECMO is vital for favorable patient outcomes. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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