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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
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Esophageal Perforation-I: Introduction01:22

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Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
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Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
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Related Experiment Video

Updated: Mar 25, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
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Retrograde jejunogastric intussusception due to suture concretion.

A S Fahy1, T P Nickerson1, H J Schiller1

  • 1Mayo Clinic , Rochester, MN , US.

Annals of the Royal College of Surgeons of England
|February 19, 2016
PubMed
Summary

A rare case of small bowel obstruction occurred five years post-Roux-en-Y reconstruction due to a suture concretion causing intussusception at the gastrojejunostomy. This highlights a delayed complication of surgical procedures.

Keywords:
GastrojejunostomyJejunogastric intussusceptionRoux-en-YSuture lead point

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Area of Science:

  • Gastroenterology
  • Surgical Complications
  • Medical Imaging

Background:

  • Roux-en-Y gastric bypass is a common bariatric procedure.
  • Complications can arise years after surgery.
  • Small bowel obstruction is a potential adverse event.

Observation:

  • A patient presented with acute small bowel obstruction five years after Roux-en-Y reconstruction.
  • Computed tomography revealed retrograde intussusception at the gastrojejunostomy.
  • Intraluminal suture concretion was identified as the cause.

Findings:

  • Preoperative imaging accurately identified the intussusception.
  • Endoscopic and intraoperative findings confirmed the diagnosis.
  • Literature review indicates this is a rare but significant complication.

Implications:

  • Delayed diagnosis and treatment can lead to severe outcomes.
  • Awareness of such delayed complications is crucial for clinicians.
  • Further research into preventing suture-related complications is warranted.