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.
Another variant of the communicative intention analysis is Recanati's. 1  Part of Recanati's solution to the sneaky intention problem, following Grice (1969), consists in simply demanding that sneaky intentions be absent. This is what it is for an intention to be open, or default-reflexive (Recanati 1987: 191â207).