Faculty, Staff and Student Publications
Language
English
Publication Date
9-1-2021
Journal
The Journal of Extracorporeal Technology
DOI
10.1182/ject-2100013
PMID
34658412
PMCID
PMC8499636
PubMedCentral® Posted Date
September 2021
PubMedCentral® Full Text Version
Post-print
Abstract
Roux-en-y gastric bypass (RYGB) is one of the most common weight loss surgical procedures performed in the United States. Early post-operative small bowel obstruction is a rare but potentially morbid, complication of RYGB. We report two patients who underwent RYGB and required subsequent treatment for a post-operative small bowel obstruction. Their post-operative course was complicated by severe aspiration pneumonitis leading to hypoxemic respiratory failure requiring rescue with femoral veno-venous extracorporeal membrane oxygenation (V-V ECMO). Both patients were successfully extubated, weaned off V-V ECMO support, and discharged to home. These cases highlight the potential role of V-V ECMO for patients who have undergone RYGB and develop severe aspiration pneumonitis. They also highlight the need for cautionary use of gastrografin in RYGB patients. Early engagement of a multidisciplinary team experienced with adult ECMO is vital for favorable patient outcomes.
Keywords
extracorporeal membrane oxygenation, gastrografin, aspiration pneumonia, roux-en-y gastric bypass, morbid obesity
Published Open-Access
yes
Recommended Citation
Felinski, Melissa M; Abbas, Daniyal; Walker, Peter A; et al., "Extracorporeal Membrane Oxygenation Rescue For Severe Aspiration Pneumonitis In Two Patients After Roux-En-Y Gastric Bypass Procedure" (2021). Faculty, Staff and Student Publications. 2695.
https://digitalcommons.library.tmc.edu/uthmed_docs/2695
Included in
Gastroenterology Commons, Hepatology Commons, Internal Medicine Commons, Medical Sciences Commons, Mental and Social Health Commons, Pulmonology Commons, Respiratory Tract Diseases Commons, Surgery Commons