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The estimated risk of diagnostic laparoscopy for suspected recurrent IH was 10% at 5years post-LGB. In patients who underwent secondary mesenteric defects closure, post-operative symptom relief was reported in 84%. This study demonstrates a considerable risk of developing IH after LGB without preventive closure of the mesenteric defects. We emphasize the value of diagnostic laparoscopy to achieve symptom relief in patients with suspicion of IH. Preoperative diagnosis of IH can be improved by being watchful of specific symptoms and signs
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