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Small bowel enteroclysis in surgically treated obesity
V Coppola1, D Verrengia, G Gatta
1Istituto di Scienze Radiologiche Università Federico II, Napoli.
La Radiologia Medica
|March 3, 1999
Summary
Small bowel enema is crucial for monitoring jejunoileal bypass complications in severe obesity patients. However, this diagnostic imaging technique presents significant technical and interpretive challenges post-surgery.
Area of Science:
- Gastroenterology
- Radiology
- Bariatric Surgery
Background:
- Jejunoileal bypass surgery is a treatment for severe, intractable obesity.
- Post-surgical complications can arise, necessitating follow-up imaging.
- Small bowel imaging is essential for assessing surgical outcomes and complications.
Observation:
- This study evaluated small bowel transbuccal enema in three patients post-jejunoileal bypass.
- Two patients had Payne-De Wind bypass, and one had Scott bypass.
- The Rollandi tube was used for the enema, with a terminal opening and balloon.
Findings:
- Radiologic studies are the primary method for visualizing the surgical small bowel.
- Barium sulfate administration requires a 30-day postoperative waiting period.
- Demonstrating the anastomosis and blind loop is challenging with this technique.
Implications:
- Small bowel enema is vital for identifying late local complications after jejunoileal bypass.
- It is also indispensable for bypass reversal procedures.
- Despite its necessity, the procedure is difficult to perform and interpret due to surgical alterations.