Checklist #14 Small Bowel Obstruction after Roux-en-Y Gastric Bypass: The Cleveland Clinic Florida “ABC” or “123” Classification

by Raul J. Rosenthal, MD, FACS, FASMBS; Samuel Szomstein, MD, FACS, FASMBS; and  Emanuele Lo Menzo, MD, PhD, FACS, FASMBS

Column Editor

Raul J. Rosenthal, MD, FACS, FASMBS
Clinical Editor, Bariatric Times, Professor of Surgery and Chairman, Department of General Surgery; Director, The Bariatric and Metabolic Institute; Director, General Surgery Residency Program and Fellowship in Minimally Invasive and Bariatric Surgery, Cleveland Clinic Florida, Weston, Florida

Column Co-editors

Samuel Szomstein, MD, FACS, FASMBS
Associate Director of the Bariatric Institute and Section of Minimally Invasive Surgery at the Cleveland Clinic in Weston, Florida, and Clinical Associate Professor of Surgery, Florida International University

E. Lo Menzo MD PhD FACS FASMBS
Staff Surgeon, The Bariatric and Metabolic Institute, Department of General Surgery, Cleveland Clinic Florida, Weston, Florida.

Welcome to “Checklists in Bariatric Surgery.” This column’s aim is to help bariatric surgeons quickly review the reasons for potential problems when caring for bariatric patients.

Small bowel obstruction after Roux-en-Y gastric bypass (RYGB) is a frequent and potentially life-threatening complication. Emergency room physicians, radiologists, and referring doctors have a poor understanding of the anatomy in the RYGB patient, which might result in missing and/or delaying the diagnosis and treatment modalities. We present this 14th installment of “Checklists” based on peer-reviewed publications, which might help our readers communicate better and treat patients expeditiously. We hope you clip and save this convenient checklist and find it useful as a reference tool in your everyday practice.

Please stay tuned for more checklists in upcoming issues of Bariatric Times.

View Checklist #14 HERE.

References
1.    Tucker ON, Escalante-Tattersfield T, Szomstein S, Rosenthal RJ. The ABC System: a simplified classification system for small bowel obstruction after laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2007;17(12):1549–1554. Epub 2007 Nov 27. Review.
2.    Cho M, Carrodeguas L, Pinto D, Lascano C, Soto F, Whipple O, Gordon R, Simpfendorfer C, Gonzalvo JP, Szomstein S, Rosenthal RJ. Diagnosis and management of partial small bowel obstruction after laparoscopic antecolic antegastric Roux-en-Y gastric bypass for morbid obesity. J Am Coll Surg. 2006 Feb;202(2):262-8.

FUNDING: No funding was provided.

DISCLOSURES: Dr. Rosenthal receives educational grants from Covidien, Baxter, Karl Storz, W.L. Gore, and Ethicon Endo-Surgery. He is on the advisory board of MST. Drs. Szomstein and Lo Menzo report no conflicts of interest relevant to the content of this article.

Category: Checklists in Bariatric Surgery, Past Articles