Intussusception as a complication of bariatric surgery in pregnant patients: report of one case and revision of the literature

Abstract

Occlusive complications after a laparoscopic Roux-in Y gastric bypass (LRYGB), appear mainly as fibrous membranes of wounds, internal hernias or intussusception. Intussusception after a bariatric surgery occurs in 0.1–0.3% of the cases. We present a case of intussusception in a pregnant patient after a LRYGB.

Intussuscepção intestinal em gestante pós by-pass gástrico: relato de caso

“…Não se pode dizer com clareza que a gravidez pode aumentar o risco de intussuscepção intestinal, mas uma redução de peso acentuada aumenta a chances de torção e intussuscepção intestinal². Estudos indicam que a maior incidência ocorre após quatro anos do procedimento cirúrgico 1 . No caso relatado, a paciente apresentava um período de nove anos da cirurgia de by-pass gástrico, corroborando a hipótese.…”

A near-fatal case of intussusception and ischaemic perforation of stomach in first-trimester pregnancy: eight years after laparoscopic Roux-en-Y gastric bypass

“…There is a case report of intussusception after 7 years postbariatric surgery 2. Only a few cases of acute small bowel obstruction in an RYGB complicating pregnancy has been described in medical literature 3 4. The aetiology of postbariatric intussusception, is mostly unknown.…”

Pregnancy and Bariatric Surgery: Significant Variation in Bariatric Surgeons' Practices and Preferences: A National Survey

“…Over the last few years, more studies have become available regarding acute small bowel obstruction during pregnancy due to internal herniation or intussusception, especially after Roux-en-Y gastric bypass (RYGB). [9][10][11][12][13][14] The diagnosis of these acute abdominal bariatric complications during pregnancy can be challenging because the clinical presentation might be similar to general pregnancy-related complaints and imaging techniques lack high sensitivity, specificity, or availability. 13 Furthermore, the incidence is low, whereas expertise is needed for adequate clinical decision-making.…”

“…[9][10][11][12][13][14] The diagnosis of these acute abdominal bariatric complications during pregnancy can be challenging because the clinical presentation might be similar to general pregnancy-related complaints and imaging techniques lack high sensitivity, specificity, or availability. 13 Furthermore, the incidence is low, whereas expertise is needed for adequate clinical decision-making. [11][12][13] Related to the increase in evidence of pregnancy-related risks after BS, various guideline articles with recommendations regarding the care of pregnant women after BS have recently been published.…”

“…13 Furthermore, the incidence is low, whereas expertise is needed for adequate clinical decision-making. [11][12][13] Related to the increase in evidence of pregnancy-related risks after BS, various guideline articles with recommendations regarding the care of pregnant women after BS have recently been published. 15,16 Recommendations are, among others, to postpone a pregnancy after BS for 12-24 months so that maternal weight has been stabilized, to prescribe specific supplementation during the preconception and periconception period, and to avoid excessive gestational weight gain.…”