Intussusception after laparoscopic one anastomosis gastric bypass: A rare complication
| Autor: | Manar A. Al Sulaiti, Abdulla Darwish, Khalid Al Khalifa |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Laparoscopic one anastomosis gastric bypass Gastric bypass surgery business.industry Postoperative complication Anastomosis medicine.disease medicine.disease_cause Epigastric pain Article Surgery Bowel obstruction 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Intussusception (medical disorder) Case report medicine 030211 gastroenterology & hepatology Presentation (obstetrics) Complication business Intussusception |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Intussusception is a rare complication of laparoscopic single bowel anastomosis. • An intestinal polyp is thought to be the leading point of intussusception in this case. • Post bariatric abdominal pain should not be taken lightly as it can have significant underlying pathology. • Intussusception in adult regardless of the underlying pathology, surgical intervention is recommended. Introduction Intussusception after one anastomosis gastric bypass is a rare postoperative complication that occurs with bowel obstruction. The diagnosis may be challenging because of long-standing, intermittent, nonspecific symptoms. Our paper describes an unusual case of antegrade intussusception that occurred 28 months after laparoscopic one anastomosis gastric bypass surgery. Presentation A 30-year-old female known to have diabetes mellitus type 2, who presented with epigastric pain. A computed tomography scan revealed a jejuno-jejunal intussusception. After resection and primary end-to-end hand-sewn anastomosis of the biliary limb, the patient was discharged on the 6th day postoperatively and recovered uneventfully. We belief this is the first report describing a case of intussusception post one anastomosis gastric bypass. Discussion Gastric bypass surgeries have recently become a popular method for the surgical treatment of morbid obesity worldwide. The reported intussusception incidence after Roux-en-Y gastric bypass (RYGB) is approximately 0.1–0.3%, but not described in one anastomosis gastric bypass surgery. Approximately two-thirds of patients show recurrent chronic and colicky pain. Surgical intervention is essential. Conclusion Clinicians should be aware of such condition in patients with history of bariatric surgery who present with long-standing, intermittent abdominal pain. |
| Databáze: | OpenAIRE |
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