Laparoscopic resection of intussusception after Roux-en-Y gastric bypass: Comparison between the conventional and a simplified approach

Intussusception after Roux-en-Y gastric bypass (RYGB) is an rare long term complication most commonly occurring in a retrograde fashion just distal to the jejunojejunostomy with an approximately 0.5% incidence1. Management options include reduction, pexy, resection of jejunojejunostomy2-4. Our traditional approach in management of symptomatic intussusception is resection and creation of new jejunojejunostomy preferably end to side anastomosis with a smaller anastomosis of less than 60 mm. In this video, we compare two techniques used to resect the anastomosis; one is the traditional way in which all limbs are resected and two new anastomoses are created.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: VIDEO CASE REPORT Source Type: research