OAGB/MGB experts achieved consensus on a number of aspects concerning this procedure but several areas of disagreements persist emphasising the need for more studies in the future.

Gastric perforation should be suspected in any patient with IGB who presents with an acute abdomen. This can be managed with a minimal invasive approach.

HighlightsIntramural jejunal hematoma is very rare with only few cases reported in the literature.The trauma in majority of cases is trivial and usually the patients present late.It can present with intestinal obstruction.It should be suspected when a child presents with intestinal obstruction and history of blunt abdominal trauma.