Department of General Surgery, Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal
Faculty of Medicine, University of Coimbra, Coimbra, Portugal.
BMJ Case Rep. 2021 May 11;14(5):e240756. doi: 10.1136/bcr-2020-240756.
Retrograde intussusception is a rare complication of gastric bypass. It is commonly located in the common limb close to the jejunojejunostomy. The management of such condition dictates the outcome of the patient either in the immediate emergency setting or in the long-term bariatric surgery's expected results. We present a case of a retrograde intussusception 3 years after gastric bypass which warranted an emergency enterectomy, followed by an anastomotic fistula. The adequate management of these cases leads to recovery without compromising the effect of bariatric surgery in the future.
逆行肠套叠是胃旁路术的一种罕见并发症。它通常位于靠近空肠空肠吻合术的共同支附近。这种情况的处理决定了患者在紧急情况下或长期减肥手术的预期结果中的结局。我们报告了一例胃旁路术后 3 年发生的逆行肠套叠,需要紧急进行肠切除术,随后发生吻合口瘘。这些病例的适当处理可导致恢复,而不会影响未来减肥手术的效果。