Jejunojejunal intussusception after Roux-en-Y gastric bypass: a review.

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Serval ID
serval:BIB_E6C1ADA8FA4A
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Jejunojejunal intussusception after Roux-en-Y gastric bypass: a review.
Journal
Obesity Surgery
Author(s)
Daellenbach L., Suter M.
ISSN
1708-0428[electronic], 0960-8923[linking]
Publication state
Published
Issued date
2011
Volume
21
Number
2
Pages
253-263
Language
english
Abstract
Small bowel intussusception is a rare long-term complication after Roux-en-Y gastric bypass, the etiology of which remains unclear. Except for one series reporting on 23 patients, case reports represent the vast majority of all cases reported so far. With this complete review of the world literature, based on a total of 63 patients including 2 of our own cases, we provide an extensive overview of the subject. The origin of intussusception after gastric bypass is different from that of intussusception of other causes, in that there is usually no lead point. It is likely related to motility disorders in the divided small bowel, especially in the Roux limb. This rare condition may cause obstruction and lead to bowel necrosis if not recognized and treated promptly. Clinical presentation is not specific. Computerized tomography scan represents the diagnostic test of choice, but surgery is sometimes the only way to establish the diagnosis. Treatment may be limited to reduction if the small bowel is viable, but resection of the affected segment is recommended on the basis of this review, since it seems to result in fewer recurrences. Knowledge of this entity and a high index of suspicion are required to make the correct diagnosis and offer appropriate treatment in a timely fashion.
Pubmed
Web of science
Open Access
Yes
Create date
08/03/2011 9:12
Last modification date
01/10/2019 6:20
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