To the Editor: Antiobesity operations, particularly the Roux-en-Ygastric bypass, are increasingly common. In the United States,103,000 such operations were performed in 2003.1 We report acomplication of a gastric bypass procedure that resulted inthe death of a pregnant woman and of her fetus.
At 31 weeks' gestation, a 41-year-old woman (gravida 1) presentedat her community hospital with midepigastric pain, nausea, andvomiting that had begun 30 minutes after she had ingested afatty meal. She had undergone Roux-en-Y gastric bypass surgery18 months previously but still weighed 199.6 kg (440 lb). Initialevaluation revealed a tender . . . [Full Text of this Article]
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