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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.
The American Surgeon
|January 29, 2000
Summary
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.