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://dx.doi.org/10.7759/cureus.8825 | DOI Listing |
Am J Case Rep
October 2024
Department of Surgery, Hata Kenmin Hospital, Sukumo, Kochi, Japan.
Cureus
August 2024
Collage of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU.
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.
View Article and Find Full Text PDFCureus
April 2024
Department of Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
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.
View Article and Find Full Text PDFMedicine (Baltimore)
April 2024
Department of Surgery, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
Rationale: Retrograde jejunoduodenogastric intussusception refers to invagination of distal small intestine into the stomach. It is extremely rare. It is often associated with displaced feeding catheter in which its balloon tip migrates past the gastric pylorus.
View Article and Find Full Text PDFZhonghua Wai Ke Za Zhi
May 2024
Department of Vascular Surgery,Zhongshan Hospital,Fudan University, National Clinical Research Center for Interventional Medicine,Shanghai 200032,China.
To evaluate the clinical outcomes of thoracic endovascular aortic repair (TEVAR) in the treatment of Stanford type B aortic dissection (TBAD) in Marfan syndrome patients who had no history of aortic arch replacement. This is a retrospective case-series study. From January 2009 to December 2019,the clinical data of Marfan syndrome patients who underwent TEVAR for TBAD at the Department of Vascular Surgery were collected.
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