Intussusception After Bariatric Surgery

Intussusception After Bariatric Surgery A case of bowel intussusception in a 43-year-old woman with a history of Roux-en-Y gastric bypass surgery is presented. . . . Keywords Roux-en-Y gastric bypass Laparoscopic Morbid obesity Intussusception Small bowel intussusception after laparoscopic Roux-en-Y Clinical presentation is not specific. CT of the abdomen gastric bypass (LRYGB) is a rare but significant event with with contrast is the diagnostic test of choice, with an accuracy a reported incidence of about 0.1–0.3%. of 80%. Pathognomonic findings include a Btarget sign^ A 43-year-old woman with a retrograde intussusception (Fig. 1). Treatment remains controversial but an early identifi- 3 years after a LRYGB is presented. She had lost 50% of cation and surgical intervention seems to reduce morbidity and excess weight. She complained of paroxysmal, severe abdom- prevents recurrence. Laparoscopic approach is the treatment of inal pain as well as nausea and vomiting although, on exam- choice and most cases are resolved with simple reduction if the ination, no peritoneal signs were present. Laboratory data small bowel is viable, with or without enteropexy. were unremarkable. Abdominal contrast-enhanced computed The origin of intussusception after gastric bypass is differ- tomography (CT) showed a Btarget sign^ mass consistent with ent from that of intussusception http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Gastrointestinal Surgery Springer Journals

Intussusception After Bariatric Surgery

Loading next page...
 
/lp/springer_journal/intussusception-after-bariatric-surgery-1pBxxcq4Gn
Publisher
Springer US
Copyright
Copyright © 2018 by The Society for Surgery of the Alimentary Tract
Subject
Medicine & Public Health; Surgery; Gastroenterology
ISSN
1091-255X
eISSN
1873-4626
D.O.I.
10.1007/s11605-018-3814-x
Publisher site
See Article on Publisher Site

Abstract

A case of bowel intussusception in a 43-year-old woman with a history of Roux-en-Y gastric bypass surgery is presented. . . . Keywords Roux-en-Y gastric bypass Laparoscopic Morbid obesity Intussusception Small bowel intussusception after laparoscopic Roux-en-Y Clinical presentation is not specific. CT of the abdomen gastric bypass (LRYGB) is a rare but significant event with with contrast is the diagnostic test of choice, with an accuracy a reported incidence of about 0.1–0.3%. of 80%. Pathognomonic findings include a Btarget sign^ A 43-year-old woman with a retrograde intussusception (Fig. 1). Treatment remains controversial but an early identifi- 3 years after a LRYGB is presented. She had lost 50% of cation and surgical intervention seems to reduce morbidity and excess weight. She complained of paroxysmal, severe abdom- prevents recurrence. Laparoscopic approach is the treatment of inal pain as well as nausea and vomiting although, on exam- choice and most cases are resolved with simple reduction if the ination, no peritoneal signs were present. Laboratory data small bowel is viable, with or without enteropexy. were unremarkable. Abdominal contrast-enhanced computed The origin of intussusception after gastric bypass is differ- tomography (CT) showed a Btarget sign^ mass consistent with ent from that of intussusception

Journal

Journal of Gastrointestinal SurgerySpringer Journals

Published: May 29, 2018

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$360/year

Save searches from
Google Scholar,
PubMed

Create lists to
organize your research

Export lists, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month

PDF Discount

20% off