Intussusception after Roux-en-Y gastric bypass (RYGB) is a rare, long-term complication
most commonly occurring in a retrograde fashion just distal to the jejunojejunostomy
with approximately .5% incidence [
[1]
]. Management options include reduction, pexy, and resection of jejunojejunostomy
[
2
,
3
,
4
]. Our traditional approach in management of symptomatic intussusception is resection
and creation of new jejunojejunostomy,y preferably end-to-side anastomosis with a
smaller anastomosis of <60 mm. In this video, we compare 2 techniques used to resect the anastomosis. The first is the traditional
way in which all limbs are resected and 2 new anastomoses are created. The second
way is a simplified technique that involves transecting the biliopancreatic (BP) limb
from the anastomosis, maintaining the Roux limb intact, and performing only 1 anastomosis
to restore the anatomy. In this setting, patients had symptomatic intussusception
with presenting symptoms of abdominal pain without obstructive symptoms.Key words
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References
- Causes of small bowel obstruction after Roux-en-Y gastric bypass: a review of 2,395 cases at a single institution.Surg Endosc. 2014; 28: 1624-1628
- Resection or reduction? The dilemma of managing retrograde intussusception after Roux-en-Y gastric bypass.Surg Obes Relat Dis. 2013; 9: 725-730
- Retrograde (reverse) jejunal intussusception might not be such a rare problem: a single group's experience of 23 cases.Surg Obes Relat Dis. 2008; 4: 77-83
- Intussusception after Roux-en-Y gastric bypass.Surg Obes Relat Dis. 2014; 10: 666-670
Article info
Publication history
Published online: May 22, 2020
Accepted:
May 7,
2020
Received in revised form:
May 6,
2020
Received:
April 24,
2020
Identification
Copyright
© 2020 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.
