Jejunojejunostomy intussusception after gastric bypass: Case report of a rare but serious complication

Obesity, and the comorbidities associated with it, have become endemic within society. Roux-en-Y gastric bypass (RYGB) surgery is an increasingly common procedure with medical and cosmetic benefits (Li et al., 2014) [1]. However, as the case volume increases so do the rate of uncommon complications and it is imperative for surgeons to be aware of management guidelines of these complications. We present a case of Retrograde intussusception (RI) which is a rare complication status post RYGB. It is most commonly reported at the jejunojejunostomy (JJ) site, and it is hypothesized to be secondary to an antiperistaltic (retrograde) telescoping of the common limb going into the jejunal anastomosis (Varban et al., 2013) [2,3]. We present another case study as well as some points to consider in clinical management.

• Publication year

  2016

• Venue

  International journal of surgery case reports

• Publication date

  2016-12-07

• Fields of study

  Medicine

• Identifiers
  DOI 10.1016/j.ijscr.2016.10.068PMID 28006717PMCID 5192243
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Jejunojejunal intussusception after Roux-en-Y gastric bypass in a situs inversus totalis patient

  2017cited by this paper
• Comparison of the Long-term Results of Roux-en-Y Gastric Bypass and Sleeve Gastrectomy for Morbid Obesity: A Systematic Review and Meta-Analysis of Randomized and Nonrandomized Trials

  2014cited by this paper
• Jejunojejunal Intussusception After Roux-en-Y Gastric Bypass: A Review

  2011cited by this paper
• Resection or reduction? The dilemma of managing retrograde intussusception after Roux-en-Y gastric bypass.

  2011cited by this paper
• Retrograde (reverse) jejunal intussusception might not be such a rare problem: a single group's experience of 23 cases.

  2008cited by this paper
• Biliopancreatic Limb Obstruction in Gastric Bypass at or Proximal to the Jejunojejunostomy: A Potentially Deadly, Catastrophic Event

  1996cited by this paper
• Motility Disorders after Roux-en-Y Gastrojejunostomy

  1994cited by this paper
• Antiperistaltic and isoperistaltic intussusception associated with abnormal motility after Roux-en-Y gastric bypass: a case report.

  1991cited by this paper
• Ectopic jejunal pacemakers and enterogastric reflux after Roux gastrectomy: effect of intestinal pacing.

  1989cited by this paper

• A case of retrograde colonic intussusception by tubulovillous adenoma

  2025cites this paper
• Safety and efficacy of hepaticoduodenostomy for biliary reconstruction after extrahepatic mid-bile duct cancer surgery

  2024cites this paper
• RYGB-Induced Gut Dysmotility and Retrograde Intussusception: an Unusual Phenomenon. A Narrative Literature Review

  2022cites this paper
• Incidence and treatment of intussusception following Roux-en-Y gastric bypass: a systematic review and meta-analysis.

  2021cites this paper
• A rare case of internal hernia, intussusception and volvulus following gastric bypass: A case report and literature review

  2020cites this paper
• Intussusception, a Plausible Cause of the Candy Cane Syndrome (Roux Syndrome): Known for a Century—Still a Frequently Missed Cause of Pain After Roux-en-Y Gastric Bypass

  2020cites this paper
• Jejuno-Jejunal Intussusception after Roux-en-Y Gastric Bypass

  2020cites this paper
• Jejunojejunal Intussusception After Roux-en-Y Gastric Bypass and Abdominoplasty: A Rare Association or a Mere Coincidence?

  2020cites this paper
• 8th Congress of the International Federation for the Surgery of Obesity and Metabolic Disorders

  2018cites this paper
• Jejunojejunal intussusception: an unusual case of postoperative intestinal obstruction

  2018cites this paper
• Invagination jéjunojéjunale rétrograde après bypass gastrique en Y laparoscopique

  2018cites this paper
• Jejuno-gastric intussusception: A case report of unusual cause of food intolerance after roux-En-Y gastric bypass

  2018cites this paper
• Anterograde jejunojejunal intussusception through the distal anastomosis as complication after Roux-en-Y gastric bypass

  2018cites this paper