Any adverse reaction to the transfusion of blood or blood products should be reported to the patient's treating doctor and to the hospital blood bank as soon as possible. Speed is essential because of the possible life-threatening nature of acute transfusion reactions.
Conclusions: Gastrogastric fistula is a possible complica-tion of Roux-en-Y gastric bypass and its laparoscopic treatment is feasible. Key Words: Bariatric surgery, Complications, Gastric by-pass, Fistula. INTRODUCTION Adult obesity has become a disease of epidemic propor-tions,1 and it is well known as a root cause of multiple medical comorbidities.
Ramus communicans (plural rami communicantes) is the Latin term used for a nerve which connects two other nerves, and can be translated as communicating branch. When used without further definition, it almost always refers to a communicating branch between a spinal nerve and the sympathetic trunk. More specifically, it usually refers to one of the following : Gray ramus communicans; White ramus communicans The white rami communicantes exist only at the levels of the spinal cord where the intermediolateral cell column is present (T1-L2) and are responsible for carrying preganglionic nerve fibres from the spinal cord to the paravertebral ganglia.