PMC5064277_01
Gastrojejunal anastomosis - first surgery: RYGB, it seems to be a little ischemic area at the gastric pouch which was covered with omentum
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f1
The team decides to surgically explore her, finding hemoperitoneum with a minor leak on the anterior aspect of the gastric reservoir (Figure 1).
Gastrojejunal anastomosis - second surgery: the ischemic area is bigger than the last surgery
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f2
The team decides to re-explore her, finding the same liquid without leak and a violet gastric reservoir (Figure 2).
Third surgery: necrotic pouch
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f3
Was decided to resect the reservoir performing a primary esophagojejunal anastomosis, lavage and jejunostomy (Figures 3 and  4 ).
Section of the proximal jejunum
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f4
Was decided to resect the reservoir performing a primary esophagojejunal anastomosis, lavage and jejunostomy (Figures 3 and  4 ).