Laparoscopic enteropexy for intussusception at Roux-en-Y anastomosis

Kalmar, Christopher L.; Lucktong, Tananchai A

doi:10.1093/jscr/rjz152

Cited by 4 publications

(4 citation statements)

References 8 publications

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“…Intussusception is a rare cause of obstruction after gastric bypass, its incidence is 0.1% to 1.2% with a median interval of 36-52 months after the procedure [4].…”

Section: Discussionmentioning

confidence: 99%

“…Early laparoscopic surgical exploration is recommended to prevent progression to infarction and perforation, it reduces morbidity and mortality of patients. The surgical technique consists of revision alone in the absence of ischemia or resection with revision of the anastomosis if ischemia is present [4].…”

Section: Discussionmentioning

confidence: 99%

“…The classic triad of abdominal pain, bloody stools and a palpable mass is rarely seen. The symptoms may be acute, chronic, or intermittent [4].…”

Section: Introductionmentioning

confidence: 99%

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A Case Report of Intussusception After Gastric Bypass

Guerroudj

Takkal

Hainaux

2020

Cureus

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Intussusception is a rare cause of late complication after gastric bypass. We report the case of a 53-year-old woman having a gastric bypass in 2011. The patient presented to the emergency department with abdominal pain and vomiting. The diagnosis of intussusception was made by CT scan. Laparoscopy found an invaginated intestinal segment at the level of the jejuno-jejunal anastomosis without necrosis. Adhesiolysis and revision of the anastomosis were performed. The post-operative course was favorable. The diagnosis of intussusception was made by CT scan.

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“…Intussusception is a rare cause of obstruction after gastric bypass, its incidence is 0.1% to 1.2% with a median interval of 36-52 months after the procedure [4].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A Case Report of Intussusception After Gastric Bypass

Guerroudj

Takkal

Hainaux

2020

Cureus

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“…Roux-en-Y gastric bypass (RYGB) is the most commonly performed weight-loss procedure worldwide 1,2 . However, the resultant unique anatomical structure poses a technical challenge for endoscopists performing ERCP, 3,4 prompting development of enteroscopy-assisted ERCP and laparoscopy-assisted ERCP for these patients 5–7 .…”

mentioning

confidence: 99%

Endoscopic-Directed Trans-Gastric Retrograde Cholangiopancreatography in Patients With Roux-en-Y gastric Bypasses

Chen

Wang

et al. 2023

Journal of Clinical Gastroenterology

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Background and Aim: Endoscopic ultrasound-directed trans-gastric retrograde cholangiopancreatography (EDGE) is a new procedure for treating pancreaticobiliary diseases in patients with Roux-en-Y gastric bypass (RYGB). The aim of this meta-analysis was to determine the overall outcomes and safety of EDGE. Materials and Methods:We performed a computerized search of the main databases, including PubMed, EMBASE, Cochrane Library, and Science Citation Index, through October 2022. The main outcome measures examined in the meta-analysis were technical and clinical success rates and overall adverse event (AE) rate, especially the lumen-apposing metal stent (LAMS) dislodgement rate. AE rates were assessed according to LAMS size (15 vs. 20 mm), number of stages (single vs. two) and access route (gastrogastric vs. jejuno-gastric).Results: Fourteen trials with a total of 574 patients who had undergone 585 EDGE procedures were included in this study. The cumulative technical and clinical success and AE rates were 98%, 94%, and 14%, respectively. The commonest AE was LAMS dislodgement (rate 4%). The overall AE rate was lower in the 20-mm LAMS than in the 15-mm LAMS group (odds ratio [OR] = 5.79; 95% confidence interval [CI]: 2.35 to 14.29). There were no significant differences in AE rate between number of stages (OR = 1.36; 95% CI: 0.51 to 3.64) or differing access routes (OR = 1.03; 95% CI 0.48 to 2.22). Conclusion:We here provide evidence that EDGE for endoscopic retrograde cholangiopancreatography yields good treatment outcomes in patients with RYGBs. The AE rate is significantly lower with 20-mm versus 15-mm LAMS; thus, the former is likely preferable.

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