Translational Medicine
Open Access

Clinical Associate Professor of Surgery, University College London, University College London, UK

Publications

• Short Communication   
  Euro Case Reports 2020: Necrotizing enterocolitis in a patient post Roux-En-Y Gastric Bypass - Benjamin Schapira - University College London
  Author(s): Benjamin Schapira
  
  Necrotizing enterocolitis (NEC) carries one of the highest mortality rates of all gastrointestinal disorders. Both its pathogenesis and aetiology remain enigmatic in adult patients. We report on the first known case of NEC following Roux-enY Gastric Bypass (RYGB) long-term. A 42-year-old female patient (BMI 51.2) underwent RYGB. At 12 months follow-up she presented with diarrhoea, vomiting, tachypnoea and hypotension. She was severely acidotic (pH 6.9), white cell count (24x109/L) and lactate (7.3U/L). CT presented dilated bowel most prominently at the upper jejunum and she subsequently underwent laparotomy for small-bowel resection, subtotal colectomy and end ileostomy. Intraoperative, patchy necrotic segments of colon were noted. Postoperatively, her lactate increased to 10U/L, necessitating relook laparotomy for further bowel resection. Caecal and ascending colon samples showed isc.. View More»
  DOI: 10.35248/2161-1025.20.10.207

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