Jejuno-gastric intussusception: A case report of unusual cause of food intolerance after roux-En-Y gastric bypass
| Autor: | Amir Aryaie, Rachel Slate, Adel Alhaj Saleh, Zaina Habrawi |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Gastric bypass Nausea Anastomosis Article 03 medical and health sciences 0302 clinical medicine Nausea and food intolerance after bypass Intussusception (medical disorder) Case report medicine Bariatric surgery medicine.diagnostic_test Esophagogastroduodenoscopy business.industry Jejuno-gastric intussusception nutritional and metabolic diseases medicine.disease Roux-en-Y anastomosis Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Vomiting Abdomen 030211 gastroenterology & hepatology medicine.symptom business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2018.03.029 |
| Popis: | Highlights • Intussusception is increasing in incidence after Roux-en-Y gastric bypass (RYGB). • The majority of cases are jejuno-jujenal intussusception. • Our case is jejuno-gastric intussusception presented 17 years are RYGB. • Early diagnosis and management are crucial, surgical management is mainstay of treatment. Introduction Morbid obesity is increasing worldwide as a result, weight loss procedures such as Roux- En-Y gastric bypass (RYGB) are increasing as well. RYGB has multiple complications including intussusception, most of the cases are jejuno-jejunal. Only one case reported to be Jejuno-gastric intussusception (JGI) but through the remnant and not the gastro-jejunostomy anastomosis (GJ). Case report A 50-year-old female presented to the emergency department complaining of diffuse abdominal pain, nausea, and vomiting. Her surgical history is significant for an RYGB 17 years ago. Nausea and food intolerance were the most prominent symptoms. CT scan of the abdomen and upper GI series were normal. Only Esophagogastroduodenoscopy (EGD) showed JGI through GJ, with friable mucosa and a small gastro-gastric fistula. Patient underwent successful reconstruction of GJ and had no symptoms afterwards. Conclusion JGI is a rare of cause of abdominal pain, nausea and vomiting after RYGB. Early diagnosis is crucial, a thorough work up is needed to make diagnosis of JGI including EGD. Revision of GJ anastomosis is necessary to address this phenomenon. |
| Databáze: | OpenAIRE |
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