Closure of mesenteric defects for prevention of internal hernia after Roux‐en‐Y gastric bypass in bariatric surgery

Internal hernia is one of the most severe complications observed in people undergoing Roux‐en‐Y gastric bypass (RYGB). There are some who advocate for the closure of defects to prevent internal hernias. However, the closure of these defects might be associated with an increased risk of small bowel obstruction, resulting from a kink in the anastomosis of the small intestines. Currently, there is a lack of robust evidence demonstrating the benefits of defect closure.

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