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Snapshots in surgery: small bowel intussusception following ileojejunal bypass
Joseph Ward1, Basel Jaber1, Charlotte Leaman1
1Department of Surgery, Morriston Hospial, Abertawe Bro Morgannwg University Health Board Heol Maes Eglwys, Morriston, Swansea, Wales, SA6 6NL, United Kingdom.
Clinical Case Reports
|December 31, 2014
Summary
Jejunal intussusception, a complication of ileojejunal bypass for obesity, can cause acute abdomen. Anchoring the jejunum during surgery prevents this serious issue.
Area of Science:
- Gastroenterology
- Surgical Complications
- Bariatric Surgery
Background:
- Jejunal intussusception is a recognized complication following ileojejunal bypass surgery for morbid obesity.
- This condition can manifest as an acute abdominal emergency, requiring prompt diagnosis and intervention.
Purpose of the Study:
- To highlight the potential for jejunal intussusception as a complication of ileojejunal bypass surgery.
- To present a preventative surgical technique to mitigate this risk.
Main Methods:
- Review of known complications associated with ileojejunal bypass procedures.
- Description of intra-operative surgical anchoring technique.
Main Results:
- Jejunal intussusception is a potential sequela of ileojejunal bypass.
- Intra-operative anchoring of the jejunum to the transverse mesocolon effectively prevents jejunal intussusception.
Conclusions:
- Jejunal intussusception is a preventable complication of ileojejunal bypass surgery.
- Surgical technique modification, specifically jejunal anchoring, is crucial for patient safety in bariatric surgery.
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