Advertisement

Obesity Surgery

, Volume 19, Issue 6, pp 809–811 | Cite as

Adult Jejunojejunal Intussusception After Jejunoileal Bypass Bariatric Surgery

  • Mokhtar Eltair
  • Zakaria Habbal
  • Poovathumkadavil Abdul Jaleel
  • Abdul-Wahed MeshikhesEmail author
Case Report
  • 88 Downloads

Abstract

The jejunoileal bypass is one of the bariatric surgical options which have been abandoned for two reasons: first, it leads to severe malnutrition and liver failure and, second, the bypassed jejunum—being a blind loop—is susceptible to bacterial accumulation which might become a source of sepsis due to bacterial translocation. We hereby report a case of a 27-year-old lady who presented with jejunojejunal intussusception of the blind jejunal loop 2 years after jejunoileal bypass surgery. This complication could have led to serious consequences if it was not managed in the appropriate time.

Keywords

Morbid obesity Jejunoileal bypass Intussusception 

References

  1. 1.
    Lutrzykowski M. Vertical gastric resection (sleeve gastrectomy) in a morbidly obese patient with past jejunoileal bypass. Obes Surg. 2007;3:423–5.CrossRefGoogle Scholar
  2. 2.
    Duane TM, Wohlgemuth S, Ruffin K. Intussusception after Roux-en-Y gastric bypass. Am Surg. 2000;66:82–4.PubMedGoogle Scholar
  3. 3.
    Majeski J, Fried D. Retrograde intussusception after Roux-en-Y gastric bypass surgery. J Am Coll Surg. 2004;199:988–9.CrossRefGoogle Scholar
  4. 4.
    Whipple OC, Stringer EF, Senkowski CK, et al. Retrograde intussusception of the efferent limb after a pancreaticojejunostomy. Am Surg. 2003;69:353–5.PubMedGoogle Scholar
  5. 5.
    Azar T, Berger D. Adult intussusception. Ann Surg. 1997;226:134–8.CrossRefGoogle Scholar
  6. 6.
    Isen LK, Cunningham JD, Aufses AH. Intussusception in adults: institutional review. J Am Coll Surg. 1999;188:390–5.CrossRefGoogle Scholar
  7. 7.
    Edwards MA, Grinbaum R, Ellsmere J, et al. Intussusception after Roux-en-Y gastric bypass for morbid obesity: case report and literature review of rare complication. Surg Obes Relat Dis. 2006;2:483–9.CrossRefGoogle Scholar
  8. 8.
    Toso C, Erne M, Lenzlinger PM. Intussusception as a cause of bowel obstruction in adults. Swiss Med Wkly. 2005;135:87–90.PubMedGoogle Scholar
  9. 9.
    Huang WS, Changchien CS, Lu SN. Adult intussusception: a 12-year experience, with emphasis on etiology and analysis of risk factors. Chang Gung Med J. 2000;23:284–90.PubMedGoogle Scholar
  10. 10.
    Mahmoud A, Mahmoud N, Robinson RB. Small bowel intussusception: a dangerous sequelae of bariatric surgery. Radiology Case Reports. 2007;1:10–12.CrossRefGoogle Scholar
  11. 11.
    Bocker J, Vasile J, Zager J, et al. Intussusception: an uncommon cause of postoperative small bowel obstruction after gastric bypass. Obes Surg. 2004;14:116–9.CrossRefGoogle Scholar
  12. 12.
    Wax JR, Wolff R, Cobean R, et al. Intussusception complicating pregnancy following laparoscopic Roux-en-y gastric bypass. Obstet Surg. 2007;7:977–9.CrossRefGoogle Scholar
  13. 13.
    Ren PL, Huang JC, Shin JS, et al. Jejunojejunogastric intussusception: a rare intussusception in an adult patient after gastric surgery. Gastrointest Endosc. 2002;56:296–8.CrossRefGoogle Scholar
  14. 14.
    Barussaud M, Regenet N, Briennon X, et al. Clinical spectrum and surgical approach of adult intussusceptions: a multicentric study. Int J Colorectal Dis. 2006;21:834–9.CrossRefGoogle Scholar
  15. 15.
    Archimandritis AJ, Hatzopoulos N, Hatzinikolaou R. Jejunogastric intussusception presenting with hematemesis: a case report presentation and review of the literature. BMC Gastroenterol. 2001;1:1.CrossRefGoogle Scholar
  16. 16.
    Kirshtein B, Roy-Shapira A, Lantsberg L, et al. Laparoscopic management of acute small bowel obstruction. Surg Endosc. 2005;19:464–7.CrossRefGoogle Scholar
  17. 17.
    Chou NH, Chou NS, Mok KT. Intestinal obstruction in patients with previous laparotomy for non-malignancy. J Chin Med Assoc. 2005;68:327.CrossRefGoogle Scholar

Copyright information

© Springer Science + Business Media, LLC 2009

Authors and Affiliations

  • Mokhtar Eltair
    • 1
  • Zakaria Habbal
    • 1
  • Poovathumkadavil Abdul Jaleel
    • 2
  • Abdul-Wahed Meshikhes
    • 1
    Email author
  1. 1.Department of SurgeryKing Fahad Specialist HospitalDammamSaudi Arabia
  2. 2.Department of Body ImagingKing Fahad Specialist HospitalDammamSaudi Arabia

Personalised recommendations