Related Experiment Video
Updated: Jun 7, 2025
08:49
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
16.4K
Small Bowel Recurrent Intussusception Status Post Gastric Bypass.
Yasmine Ghattas1, Brittany L Perry1, Danis Lester2
1Medicine, University of Central Florida College of Medicine, Orlando, USA.
Cureus
|November 11, 2024
Summary
Adult intussusception is rare, especially after gastric bypass surgery. Recurrent small bowel intussusception following Roux-en-Y gastric bypass requires careful consideration, favoring resection and reconstruction over simple reduction to minimize recurrence.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Abdominal Surgery
Background:
- Adult intussusception is uncommon, with gastric bypass surgery being a rare predisposing factor.
- Roux-en-Y gastric bypass (RYGB) can lead to late complications, including small bowel intussusception.
Observation:
- A 73-year-old woman with a history of RYGB presented with recurrent jejunal intussusception.
- Initial laparoscopic reduction was unsuccessful, leading to recurrence within 24 hours.
- Exploratory laparotomy with small bowel anastomosis was performed due to persistent symptoms.
Findings:
- Simple reduction of recurrent small bowel intussusception post-gastric bypass can be ineffective.
- Resection and reconstruction of the jejunojejunostomy is a viable option for recurrent intussusception.
- Reconstructive surgery appears to have acceptable complication rates and the lowest risk of recurrence.
Implications:
- Clinicians should consider reconstructive surgery for recurrent intussusception after gastric bypass.
- This approach may offer better long-term outcomes compared to simple reduction.
- Further studies are warranted to confirm the optimal management strategy for this rare complication.
Related Concept Videos
01:21Inflammatory Bowel Disease V: Surgical Management
122
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.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
122
01:15Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
82
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
82
01:17Irritable Bowel Syndrome I: Introduction
248
Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
248
01:30Inflammatory Bowel Disease II: Crohn's Disease
186
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
186
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
231
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
231
01:30Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
142
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
142