Can Classical Roux-N-Y Gastric Bypass Be Combined with Surgical Emergencies? An Interesting Case Series with Literature Review of Two Patients at a Tertiary Care Center

Abstract

AbstractWeight-loss surgery is usually recommended to those who walk into our specialist bariatric outpatient department, and intense and often exhaustive counseling, along with a thorough preoperative workup, is undertaken prior to the surgery. All this often fails in the emergent scenario, where the focus shifts to a damage-control mode, and the possibility of a metabolic procedure in this setting, especially one as challenging as gastric bypass, is seldom actively pursued. We discuss two patients presenting to the emergency department with different surgical ailments, but also being obese, with comorbidities, finally undergoing the primary surgeries along with Roux-N-Y gastric bypass, via conventional and laparoscopic methods respectively, with positive immediate outcomes and favorable 1-year excess-body-weight-loss as well. This shows that if patient selection is wise, and adequate expertise is available, gastric bypass can be offered in the emergent scenario as well, with favorable outcomes.