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Roux-en-Y retrograde intussusception: surgical reconstruction via sequential isoperistaltic side-to-side anastomoses
Trevor C Chopko1, Vineeth Sudhindran2, Daniel Stephens2
1Department of Surgery, Mayo Clinic, Rochester, Minnesota, USA chopko.trevor@mayo.edu.
BMJ Case Reports
|February 17, 2024
Summary
Intussusception after Roux-en-Y gastric bypass is a rare but serious complication. Surgical resection and reconstruction of the affected anastomosis is the recommended treatment to prevent further issues.
Area of Science:
- Gastroenterology
- Surgical Innovation
Background:
- Roux-en-Y gastric bypass (RYGB) can lead to rare complications.
- Intussusception is a potentially life-threatening condition following RYGB.
Observation:
- Patients present with intermittent obstructive symptoms diagnosed via imaging.
- Retrograde jejunojejunal intussusception occurred at the distal Roux anastomosis in a patient.
Findings:
- Surgical intervention is crucial due to high risks of non-operative failure, strangulation, perforation, and malignancy concerns.
- A unique surgical approach involved complete anastomotic resection with reconstruction using sequential isoperistaltic side-to-side anastomoses.
Implications:
- This case highlights a successful surgical correction for a rare RYGB complication.
- The described technique offers a viable option for managing jejunojejunal intussusception in RYGB patients.

