Retrograde Intussusception after Roux-en-Y Gastric Bypass скачать в хорошем качестве

Retrograde Intussusception after Roux-en-Y Gastric Bypass

Retrograde intussusception (RI) is a rare long-term complication after Roux-en-Y gastric bypass (RYGB) (0.1%-0.3%), however, its etiology still remains unclear [1]. The origin of intussusception after gastric bypass is different from that of intussusception of other causes and is likely related to motility disorders in the divided small bowel, especially in the Roux limb [2]. This rare condition may cause obstruction and lead to bowel strangulation if not recognized and treated promptly. Contrast-enhanced computerized tomography (CECT) scan of the abdomen represents the diagnostic test of choice, however, a definite diagnosis cannot be established unless the patient undergoes surgical exploration [3]. For uncomplicated cases, where the bowel appears to be viable, simple reduction may suffice. Nevertheless, resection of the affected segment is recommended when bowel gangrene ensues. https://pmc.ncbi.nlm.nih.gov/articles... 1.Retrograde (reverse) jejunal intussusception might not be such a rare problem: a single group's experience of 23 cases. Simper SC, Erzinger JM, McKinlay RD, Smith SC. Surg Obes Relat Dis. 2008;4:77–83. doi: 10.1016/j.soard.2007.12.004. [DOI] [PubMed] [Google Scholar] 2.Adult intussusception. Lu T, Chng YM. Perm J. 2015;19:79–81. doi: 10.7812/TPP/14-125. [DOI] [PMC free article] [PubMed] [Google Scholar] 3.Rare case of concurrent intussusception and volvulus after Roux-en-Y gastric bypass for morbid obesity. Ng M, Toribio R, Sugiyama G. J Surg Case Rep. 2013:0. doi: 10.1093/jscr/rjs018. [DOI] [PMC free article] [PubMed] [Google Scholar]