Georgia case library

Georgia Surgicare complaint alleges unauthorized gastric bypass during scheduled hernia repair

The complaint alleges that a patient presented to Georgia Surgicare for a scheduled hernia repair with sleeve revision, consented to that procedure but not to conversion to gastric bypass, and that the defendants nonetheless performed a gastric bypass with Roux-en-Y anastomosis. Same-day discharge without adequate post-operative monitoring was followed by a later small bowel obstruction from an internal hernia, emergency surgery, aspiration pneumonia, sepsis, multiple abdominal washouts, and a later readmission for related complications.

System
IBI Healthcare
Facility
Georgia Surgicare, LLC
Providers involved
Georgia Surgicare, LLC / IBI Healthcare / Christopher Ibikunle, M.D. / Georgia Surgicare staff
Pattern
Scheduled hernia repair and sleeve revision followed by alleged conversion to gastric bypass without consent
Harm
Small bowel obstruction, emergency surgery, aspiration pneumonia, sepsis, and additional abdominal procedures

Overview

This page concerns a public complaint alleging that Georgia Surgicare, IBI Healthcare, and Christopher Ibikunle, M.D. performed a gastric bypass with Roux-en-Y anastomosis during a scheduled hernia repair and sleeve revision even though the plaintiff allegedly had not consented to conversion to gastric bypass.

Chronology

The complaint alleges as follows:

  1. She presented to Georgia Surgicare on February 27, 2024 for a scheduled hernia repair that she had been advised would include revision of an earlier gastric sleeve.
  2. She consented to the hernia repair and sleeve revision but not to conversion to a gastric bypass.
  3. Georgia Surgicare staff cleared her for the procedure despite her concerns about her high BMI and the facility’s alleged policy against operating on patients with a BMI over 35.
  4. She was discharged the same day without adequate post-operative monitoring.
  5. She later presented to a hospital emergency room, imaging showed a small bowel obstruction caused by an internal hernia attributed to the gastric bypass, and emergency surgery and later procedures followed.

Alleged failures

The complaint alleges the following failures:

  • The defendants performed a gastric bypass with Roux-en-Y anastomosis instead of the operation to which the patient had consented.
  • No operative report or consent form documenting consent for a gastric bypass had been produced.
  • The defendants proceeded in an ambulatory surgical center setting despite alleged concerns about the patient’s BMI and the nature of the procedure.
  • Post-operative monitoring before same-day discharge was inadequate.
  • The gastric bypass led to an internal hernia, small bowel obstruction, emergency exploratory laparotomy, aspiration pneumonia, sepsis, additional abdominal washouts, and later readmission.

Entities and tags

Georgia Surgicare, LLCIBI HealthcareChristopher Ibikunle, M.D.Roux-en-Y gastric bypassInternal herniaSmall bowel obstructionAspiration pneumoniaSepsisSurgical errorInformed consentPost-operative complicationsFailure to monitorBariatric surgeryAmbulatory surgeryGeneral surgeryPost-operative care