{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:06:53Z","timestamp":1753877213665,"version":"3.41.2"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2025,4,8]],"date-time":"2025-04-08T00:00:00Z","timestamp":1744070400000},"content-version":"vor","delay-in-days":10,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,3,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>We report the management of a 38-year-old female with a history of ventriculoperitoneal (VP) shunt who underwent laparoscopic Roux-en-Y gastric bypass (LRYGB) and presented with infected mesenteric abscess. The patient underwent LRYGB and was discharged on postoperative day (POD) #1. She sustained a syncopal event on POD #15, with workup revealing a mesenteric abscess. She underwent operative drainage of the abscess, small bowel resection and revision of her jejunojejunostomy. The VP shunt was visualized intraoperatively and after discussion with the neurosurgery team, externalized. She was treated with empiric intravenous antibiotics, and serial shunt cultures. After persistently negative shunt cultures, she underwent re-internalization of the shunt on POD #12 after drainage and was discharged home. Complications of bariatric surgery in patients with VP shunts can be successfully managed with a high index of clinical suspicion and timely multi-disciplinary cooperation.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf198","type":"journal-article","created":{"date-parts":[[2025,4,8]],"date-time":"2025-04-08T21:47:48Z","timestamp":1744148868000},"source":"Crossref","is-referenced-by-count":0,"title":["Case report of mesenteric abscess following laparoscopic Roux-en-Y gastric bypass in the setting of a ventriculoperitoneal shunt"],"prefix":"10.1093","volume":"2025","author":[{"given":"Marie L","family":"Jacobs","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Bariatric Surgery, University of Rochester Medical Center , 1000 South Ave, Rochester, NY 14620 \u00a0","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin M","family":"Sigley","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Bariatric Surgery, University of Rochester Medical Center , 1000 South Ave, Rochester, NY 14620 \u00a0","place":["United States"]},{"name":"3909 Arctic Blvd, Ste. 101, Anchorage, AK 99503, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William","family":"O\u2019Malley","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Bariatric Surgery, University of Rochester Medical Center , 1000 South Ave, Rochester, NY 14620 \u00a0","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,4,8]]},"reference":[{"key":"2025040821472048000_ref1","doi-asserted-by":"publisher","first-page":"425","DOI":"10.1016\/j.soard.2024.01.012","article-title":"American Society for Metabolic and Bariatric Surgery 2022 estimate of metabolic and bariatric procedures performed in the United States","volume":"20","author":"Clapp","year":"2024","journal-title":"Surg Obes Relat 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