Document Detail


Jejunojejunal intussusception after Roux-en-Y gastric bypass: a review.
MedLine Citation:
PMID:  20949329     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
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.
Authors:
Loic Daellenbach; Michel Suter
Related Documents :
7055789 - Botryoid rhabdomyosarcoma of the gallbladder in a child.
7065389 - Hazards of anaesthetic scavenging: case reports and brief review.
7538059 - The use of the wallstent endovascular prosthesis in the treatment of malignant inferior...
11213049 - Cystic duplication of the cecum with segmental dilatation of the ileum: report of a case.
20932389 - Aberrant mesoappendix vasculature: a unique cause of partial small bowel obstruction.
20556449 - Prolapse of bowel via patent vitello intestinal duct-a rare occurrence.
24077629 - A case of diaphragmatic hernia induced by radiofrequency ablation for hepatocellular ca...
6987109 - Primary cutaneous amyloidosis: clinical, laboratorial and histopathological study of 25...
1174189 - Pulmonary and articular sporotrichosis. report of two cases.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obesity surgery     Volume:  21     ISSN:  1708-0428     ISO Abbreviation:  Obes Surg     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9106714     Medline TA:  Obes Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  253-63     Citation Subset:  IM    
Affiliation:
Faculty of Medicine and Biology, University of Lausanne, Lausanne, Switzerland.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Are physicians' recommendations for colorectal cancer screening guideline-consistent?
Next Document:  Vectors for Glucose-Dependent Protein Expression in Saccharomyces cerevisiae.