Obesity Center Máxima, Máxima Medical Center, Veldhoven, the Netherlands.
Department of Surgery, Máxima Medical Center, Veldhoven, the Netherlands.
Surg Obes Relat Dis. 2020 Oct;16(10):1603-1613. doi: 10.1016/j.soard.2020.05.019. Epub 2020 Jun 1.
Intussusception of the small intestine has been described in pregnant women with a history of a laparoscopic Roux-en-Y gastric bypass. This study provides a systematic review on the characteristics of intussusception in this population. MEDLINE, Embase, Cochrane Library, and our own hospital's electronics health records were searched for eligible studies/cases. Fifteen papers were eligible, containing 17 cases. Our hospital search included 6 cases. Seventeen of 23 intussusceptions were retrograde and were mostly (18/23) located at the jejunojejunostomy. Six patients were treated successfully with manual reduction only and 17 patients required surgical resection. Fifteen (65%) patients had an ischemic segment. Six (26%) patients delivered during the same hospital admission. One fetal death (1 of twins) was reported. Awareness of this rare but serious complication by obstetricians and bariatric surgeons is necessary to limit maternal and fetal complications.
小肠套叠在有腹腔镜 Roux-en-Y 胃旁路术史的孕妇中已有描述。本研究对该人群中肠套叠的特征进行了系统评价。检索了 MEDLINE、Embase、Cochrane 图书馆和我们自己医院的电子健康记录，以查找符合条件的研究/病例。有 15 篇论文符合条件，包含 17 个病例。我们医院的搜索包括 6 例。23 例肠套叠中有 17 例为逆行性，且大多（18/23）位于空肠空肠吻合处。6 例患者仅通过手动复位成功治疗，17 例患者需要手术切除。15 例（65%）患者有缺血段。6 例（26%）患者在同一住院期间分娩。有 1 例（双胞胎之一）胎儿死亡的报告。产科医生和减重外科医生需要意识到这种罕见但严重的并发症，以限制母婴并发症。
