General Surgery Expert Evaluates Delayed Treatment of Small Bowel Obstruction

ByJoseph O'Neill

Updated on

General Surgery Expert Evaluates Delayed Treatment of Small Bowel Obstruction

Case Overview

This case involves a female patient who presented to her primary care physician with complaints of abdominal pain, nausea, heartburn, and vomiting. During the visit, the patient noted that the symptoms had been present for over a month, but that they had gotten much worse over the course of the preceding week. The physician ordered a full upper GI series and prescribed heartburn medication. During a subsequent visit to the same doctor’s office for an unrelated issue, there was no follow up on the earlier gastrointestinal concerns. Over the course of several months, the patient presented to a number of other physicians for various concerns, none of who followed up on her recurrent intestinal symptoms. Eventually, the patient presented to the emergency room for severe gastrointestinal symptoms. After undergoing a series of testing that indicated the formation of a bowel obstruction, the patient was admitted to the hospital. Her condition continued to deteriorate over the next few hours, and she was eventually taken into surgery. During surgery, it was discovered that a significant portion of the patient’s bowel was necrotic due to a lack of blood flow caused by the bowel obstruction, which was related to an undiagnosed malformation of her digestive organs. It was alleged that more thorough workup by her treating physicians prior to her ER visit could have identified the issue before it led to bowel necrosis.

Questions to the Bariatric Surgery expert and their responses

Q1

Do you routinely treat patients like the one described above?

I treat patients like the one in this case, both as a bariatric surgeon and also as an on call general surgeon dealing with emergency room surgical problems over the past 16 years.

Q2

Do you have familiarity with the subject matter described above?

I am involved in a study of small bowel obstructions in bariatric surgery patients. One paper on this study was presented as a paper at the Annual Meeting of the American Society for Metabolic and Bariatric Surgery in 2014. This is an ongoing study involving our 16 years of experience at our program and additional papers are expected to come out of this study.

About the expert

This highly qualified expert is an authority in Bariatric Surgery. He completed his surgery residency at Rush-Presbyterian-St. Luke's Medical Center. He is Board Certified by the American Board of Surgery and is a Fellow of the American College of Surgeons. He is a member of prestigious national and international associations such as the American Pancreatic Association, the Society for Surgery of the Alimentary Tract, the American Society for Metabolic and Bariatric Surgery and the American Society for Gene and Cell Therapy. This expert is actively involved in research, and has published 43 peer-reviewed journal articles, 8 book chapter contributions, 54 abstract publications and has given 103 conference presentations. He currently serves as Medical Director of the American Society for Metabolic and Bariatric Surgery Center of Excellence at UIHC, Professor of Surgery at a major university, and Program Director of the Bariatric Surgery Fellowship Program at a major university affiliated medical center.

Expert headshot

E-035901

Specialties:

About the author

Joseph O'Neill

Joseph O'Neill

Joe has extensive experience in online journalism and technical writing across a range of legal topics, including personal injury, meidcal malpractice, mass torts, consumer litigation, commercial litigation, and more. Joe spent close to six years working at Expert Institute, finishing up his role here as Director of Marketing. He has considerable knowledge across an array of legal topics pertaining to expert witnesses. Currently, Joe servces as Owner and Demand Generation Consultant at LightSail Consulting.

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