TY - JOUR
T1 - RYGB-Induced Gut Dysmotility and Retrograde Intussusception
T2 - an Unusual Phenomenon. A Narrative Literature Review
AU - Diab, Abdul Rahman F.
AU - Oviedo, Rodolfo J.
AU - Nazir, Sharique
AU - Sujka, Joseph A.
AU - DuCoin, Christopher G.
N1 - Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2022/10
Y1 - 2022/10
N2 - Intussusception following Roux-en-Y gastric bypass (RYGB) is a rare complication of bariatric surgery with an unclear etiology. The pathogenesis underlying intussusception after gastric bypass is likely different from that in the general population. Post-RYGB intussusception might be related to motility issues in the divided small bowel, thinning of the mesentery following rapid weight loss, or anastomotic sutures/staple line acting as the lead point. This condition can cause obstruction with subsequent strangulation and bowel necrosis if not recognized and treated promptly. Clinical presentation is vague and nonspecific, and computerized tomography scan represents the diagnostic test of choice. Surgical treatment consists of reduction with or without anastomosis resection and reconstruction. This literature review provides an extensive overview of this condition, based on multiple studies involving 120 patients.
AB - Intussusception following Roux-en-Y gastric bypass (RYGB) is a rare complication of bariatric surgery with an unclear etiology. The pathogenesis underlying intussusception after gastric bypass is likely different from that in the general population. Post-RYGB intussusception might be related to motility issues in the divided small bowel, thinning of the mesentery following rapid weight loss, or anastomotic sutures/staple line acting as the lead point. This condition can cause obstruction with subsequent strangulation and bowel necrosis if not recognized and treated promptly. Clinical presentation is vague and nonspecific, and computerized tomography scan represents the diagnostic test of choice. Surgical treatment consists of reduction with or without anastomosis resection and reconstruction. This literature review provides an extensive overview of this condition, based on multiple studies involving 120 patients.
KW - Anterograde intussusception
KW - Bypass
KW - Pregnancy
KW - Retrograde intussusception
KW - Roux-en-Y gastric
KW - Small bowel obstruction
KW - Gastric Bypass/adverse effects
KW - Humans
KW - Tomography, X-Ray Computed
KW - Intussusception/diagnostic imaging
KW - Intestine, Small/surgery
KW - Obesity, Morbid/surgery
UR - http://www.scopus.com/inward/record.url?scp=85135865881&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85135865881&partnerID=8YFLogxK
U2 - 10.1007/s11695-022-06236-0
DO - 10.1007/s11695-022-06236-0
M3 - Review article
C2 - 35947330
AN - SCOPUS:85135865881
SN - 0960-8923
VL - 32
SP - 3452
EP - 3457
JO - Obesity Surgery
JF - Obesity Surgery
IS - 10
ER -