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Intussusception after Roux-en-Y gastric bypass
T M Duane1, S Wohlgemuth, K Ruffin
1Department of Surgery, Eastern Virginia Medical School, Norfolk, USA.
Insights
Adult intussusception is rare, often caused by masses. This study details two rare cases of intussusception following Roux-en-Y gastric bypass, highlighting unusual post-surgical pathologies.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Abdominal Surgery
Background:
- Intussusception is a frequent pediatric surgical diagnosis.
- In adults, intussusception is uncommon and typically linked to a lead point, such as a tumor.
- Roux-en-Y gastric bypass is increasingly performed worldwide.
Observation:
- Two adult patients presented with signs and symptoms of small bowel obstruction post-Roux-en-Y gastric bypass.
- The underlying pathology for intussusception in these cases was atypical.
- Abdominal complaints in patients with a history of gastric bypass warrant thorough investigation.
Findings:
- Intussusception can occur in adults after Roux-en-Y gastric bypass.
- The etiology of intussusception in this context may differ from typical adult cases.
- Early recognition of unusual presentations is crucial.
Implications:
- Clinicians should maintain a high index of suspicion for intussusception in patients with abdominal complaints after Roux-en-Y gastric bypass.
- This presentation underscores the importance of considering iatrogenic causes for intussusception.
- Further research into the mechanisms and management of post-bariatric surgery intussusception is warranted.
Abstract:
Intussusception is a common pediatric surgical problem. Its occurrence in adults is rare and usually involves a specific lead point such as a small bowel tumor or other mass. We describe two adults who developed intussusception after Roux-en-Y gastric bypass. Signs and symptoms of small bowel obstruction were seen in both of these patients, but the responsible pathology was unusual. Because of the increasing frequency with which these gastric bypass procedures are being performed, a high index of suspicion must be employed when dealing with these postoperative patients who present with abdominal complaints.