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Patient With Previous Roux-en-Y Gastric Bypass" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "292" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Pol Guarner, Ainitze Ibarzabal, Jose M. Balibrea, Antonio M. Lacy" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Pol" "apellidos" => "Guarner" ] 1 => array:4 [ "nombre" => "Ainitze" "apellidos" => "Ibarzabal" "email" => array:1 [ 0 => "aibarza@clinic.cat" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 2 => array:2 [ "nombre" => "Jose M." "apellidos" => "Balibrea" ] 3 => array:2 [ "nombre" => "Antonio M." "apellidos" => "Lacy" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Cirugía Gastrointestinal, Hospital Clínic de Barcelona, Barcelona, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "<span class="elsevierStyleItalic">Corresponding author</span>." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Oclusión de asa biliopancreática por intususcepción yeyunal en paciente con <span class="elsevierStyleItalic">bypass</span> gástrico previo" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 422 "Ancho" => 1000 "Tamanyo" => 60035 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">51-year-old female patient with previous Roux-en-Y gastric bypass 10 years ago due to morbid obesity (adequate weight loss: BMI 44 kg/m<span class="elsevierStyleSup">2</span>→27 kg/m<span class="elsevierStyleSup">2</span>).</p><p id="par0010" class="elsevierStylePara elsevierViewall">She was admitted at the emergency room for sudden abdominal pain and nausea without vomiting, At exploration she had stable hemodynamics, with distended and painful abdomen (epigastric region).</p><p id="par0015" class="elsevierStylePara elsevierViewall">Blood test showed cholestasis and elevation of pancreatic enzymes. A CT-scan was performed identifying an occlusion due to retrograde invagination of jejunojejunal anastomosis (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A–C), associating dilatation of the biliopancreatic limb, the bile duct and the gastric remnant (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">She underwent an exploratory laparoscopy (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>) with spontaneous resolution of the occlusion after starting pneumoperitoneum (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). No signs of ischemia or internal hernias were found. Mesenteric defect were properly closed.</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">Uneventful postoperative course.</p><p id="par0030" class="elsevierStylePara elsevierViewall">After a 3 year follow-up the patient remains asymptomatic.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2019-04-29" "fechaAceptado" => "2019-06-27" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Guarner P, Ibarzabal A, Balibrea JM, Lacy AM. Oclusión de asa biliopancreática por intususcepción yeyunal en paciente con <span class="elsevierStyleItalic">bypass</span> gástrico previo. Cir Esp. 2020;98:292.</p>" ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 422 "Ancho" => 1000 "Tamanyo" => 60035 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 784 "Ancho" => 1667 "Tamanyo" => 137457 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Fig. " "rol" => "short" ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735077/0000009800000005/v1_202005290846/S2173507719302212/v1_202005290846/en/main.assets" "Apartado" => array:4 [ "identificador" => "15075" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Image of the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735077/0000009800000005/v1_202005290846/S2173507719302212/v1_202005290846/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173507719302212?idApp=UINPBA00004N" ]
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