S054: incidence and management of jejunojejunal intussusception after Roux-en-Y gastric bypass: a large case series.

Surgical Endoscopy
Georgios OrthopoulosJohn R Romanelli

Abstract

Jejunojejunal intussusception after Roux-en-Y gastric bypass (RYGBP) for morbid obesity is a rare but potentially catastrophic complication. There are limited data regarding the incidence of intussusception and the different surgical options for management of this disease. This is a retrospective review of all patients that underwent RYGBP and subsequently developed intussusception at the jejunojejunostomy. Data were collected between 1/1/2008 and 5/31/2018 and included demographics, details related to the index procedure, presentation, and management of intussusception. Perioperative outcomes and complications were also collected. 665 patients underwent RYGBP. A total of 34 patients developed intussusception, with 31 (4.7%) of them having undergone RYGBP in our hospital. Demographics included age, gender, and BMI at both the index surgery and at the time of intussusception. The jejunojejunostomy was created during RYGBP using a linear stapler in all patients with 64.5% of them achieving a length of 90 mm. All intussuscepted patients presented acutely with abdominal pain. All but one patient required surgical intervention. 42.4% of the patients were found to have intraoperative intussusception which appeared to be retrograde in...Continue Reading

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Citations

Aug 15, 2020·Surgical Endoscopy·Lauren A PoliakinAbdelrahman Nimeri
Feb 6, 2021·Journal of Surgical Case Reports·Aaron RockliffAdrian Yeoh
Feb 27, 2021·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Jelmer E OorWouter J M Derksen

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