Retrograde intussusception post Roux-en-y gastric bypass

Rockliff, Aaron; Loveluck, Maree; Yeoh, Adrian

doi:10.1093/jscr/rjaa452

Cited by 1 publication

(1 citation statement)

References 6 publications

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“…One of the most common bariatric procedures is Roux-en-Y gastric bypass, which is commonly associated with complications including dumping syndrome, short bowel syndrome, nephrolithiasis, postprandial hyperinsulinaemia hypoglycaemia and gastro-oesophageal reflux disease. An uncommon, although reported complication is intussusception of either the gastrojejunostomy or jejunojejunostomy anastomosis 5–7. Our case report highlighted this unusual complication and surgical management.…”

Section: Discussionmentioning

confidence: 66%

Roux-en-Y retrograde intussusception: surgical reconstruction via sequential isoperistaltic side-to-side anastomoses

Chopko,

Sudhindran,

Stephens

2024

BMJ Case Rep

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Intussusception following Roux-en-Y gastric bypass is a rare, potentially life-threatening complication. Patients present with intermittent obstructive symptoms, and the diagnosis is made on imaging. Treatment is surgical considering the high likelihood of non-operative failure, strangulation, incarceration, perforation and concern for malignancy. We present the case of a woman in her 60s with a history of Roux-en-Y gastric bypass who presented with retrograde jejunojejunal intussusception at the distal Roux anastomosis. She proceeded to the operating room for complete anastomotic resection with reconstruction of three blind ends via two sequential isoperistaltic anastomoses. She progressed appropriately throughout her hospitalisation and was discharged on postoperative day 5 without recurrence. While intussusception in Roux-en-Y anatomy has been previously described, a literature review yielded sparse results in detailing its surgical correction. We highlight our unique surgical approach of jejunojejunal anastomotic resection with the creation of sequential isoperistaltic side-to-side anastomoses.

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Section: Discussionmentioning

confidence: 66%