Retrograde intussusception (RI), although relatively uncommon, has been increasingly seen in adults post Roux-en-Y gastric bypass (RYGB) surgery. The exact mechanism for its occurrence remains unknown but several theories have attributed it to bowel persialtic dysmotility. The increase in bariatric surgery over the last decade has resulted in a proportionate increase in the number of cases of intussusception seen globally. We report a case of RI seven years following RYGB done for morbid obesity.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7320641PMC
http://dx.doi.org/10.7759/cureus.8825DOI Listing

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Article Synopsis
  • Adult colonic intussusceptions are uncommon and often related to organic lead points, but the exact causes and mechanisms remain unclear.
  • A case study of a 74-year-old woman showed retrograde colonic intussusception linked to previous colonoscopies, despite no identifiable lead point found during examination.
  • This finding is significant as it is the first reported case of colonoscopy-related retrograde intussusception without visible abnormalities, suggesting new avenues for understanding how this condition can occur.
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Jejunojejunal intussusception is a rare yet severe complication of Roux-en-Y gastric bypass (RYGBP) surgery. We are presenting a unique case of retrograde jejunal intussusception with a closed-loop blockage and an associated abdominal herniation that occurred two years after a laparoscopic RYGBP. The patient presented with abdominal pain, nausea, and vomiting, prompting a clinical diagnosis and a biphasic contrast-enhanced computed tomography (CT) scan, which later revealed a complicated jejunal intussusception with signs of ischemia showing decreased wall enhancement and distal collapsed jejunal walls with complete closed-loop bowel obstruction.

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Bariatric surgery, although effective in treating obesity-related comorbidities, rarely results in intussusception, which is a severe complication. This study aimed to enhance clinical practice and establish early diagnosis by elucidating risk factors and management strategies associated with intussusception. We conducted this systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analysis 2020 criteria.

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