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Herniation through the mesenteric gaps is the most common cause of small bowel obstruction after Roux-en-Y Gastric Bypass (RYGB) and a frequent cause of abdominal pain. A high degree of suspicion and an assertive diagnosis are required to prevent severe complications. Surgical revision is the optimal treatment and can be performed by MIS. Ricard Corcelles performed surgical revision of a patient with this problem.

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Herniation through the mesenteric gaps is the most common cause of small bowel obstruction after Roux-en-Y Gastric Bypass (RYGB) and a frequent cause of abdominal pain. A high degree of suspicion and an assertive diagnosis are required to prevent severe complications. Surgical revision is the optimal treatment and can be performed by MIS. Ricard Corcelles performed surgical revision of a patient with this problem.

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Dr. Ricard Corcelles MD, Professor of Surgery, MIS Surgeon, Fellowship Program Director, Bariatric & Metabolic Institute, Cleveland Clinic, USA Bariatric Surgery
Dr. Raquel Bravo General and Digestive Surgeon, Instituto Quirúrgico Lacy and Hospital Clínic de Barcelona, Spain General Surgery
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