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Reduction and resection of intussusception from invagination of side-to-side jejuno-jejunostomy

Yen-Yi Juo, MD, MPH, Usah Khrucharoen, MD, Michael W Robinson, MD, Erik Dutson. UCLA Center for Advanced Surgical and Interventional Technology (CASIT)

Intussusception after roux-en-y gastric bypass is an uncommon complication that could manifest in many configurations at the jejuno-jejunostomy, leading to intestinal obstruction or ischemia. In this video we will present a case of a rare manifestation of this complication whereby the distal corner of the biliopancreatic limb in the side-to-side jejune-jejunostomy becomes invaginated and leads to intermittent abdominal pain due to the compromised mesentery supply to this small bowel segment. The patient received surgery with a laparoscopic approach and the intussusception was reduced and the intussusceptum resected. Patient experienced prompt resolution of symptoms and has had no surgical complications.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 85652

Program Number: V020

Presentation Session: Complications/Interesting Case Videos Session

Presentation Type: Video

54

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