Ahmad Houssein Haidar, Ibrahim Rana, El Lakis Mustapha
Houssein Haidar Ahmad, Surgery Department at Saint George Hospital-Hadath, Beirut, Lebanon.
Rana Ibrahim, Research Department at Saint George Hospital-Hadath, Beirut, Lebanon.
Int J Surg Case Rep. 2025 Sep;134:111746. doi: 10.1016/j.ijscr.2025.111746. Epub 2025 Jul 28.
Morbid obesity is a chronic disease with increasing global prevalence. Bariatric surgery is considered the most effective therapy for treating this condition. Like all surgical interventions, bariatric surgery carries certain complications. One of the rare complications is bowel intussusception following Roux-en-Y gastric bypass (RYGB).
A 46-year-old woman initially underwent sleeve gastrectomy for morbid obesity. Six years later, she was converted to RYGB due to gastroesophageal reflux disease. Five years after the conversion, she presented with recurrent abdominal pain. Investigations revealed intussusception at the jejuno-jejunal anastomosis. The patient underwent surgical revision of the jejuno-jejunostomy.
RYGB is one of the most common bariatric procedures. While it is highly effective for weight loss and improvement of comorbidities, it is associated with certain early and late complications, including the rare occurrence of intussusception. The underlying mechanism remains poorly understood, and the optimal surgical management is still debated. However, revision of the jejuno-jejunal anastomosis appears to offer the lowest recurrence rate.
Intussusception after RYGB is a rare but serious complication that requires timely diagnosis and intervention. Several surgical options exist, with anastomotic revision showing the best outcomes in terms of recurrence and morbidity.
病态肥胖是一种全球患病率不断上升的慢性疾病。减重手术被认为是治疗这种疾病最有效的方法。与所有外科手术一样，减重手术会带来某些并发症。一种罕见的并发症是Roux-en-Y胃旁路术（RYGB）后发生肠套叠。
一名46岁女性最初因病态肥胖接受了袖状胃切除术。六年后，由于胃食管反流病，她接受了RYGB手术。转换手术后五年，她出现反复腹痛。检查发现空肠-空肠吻合处发生肠套叠。患者接受了空肠-空肠吻合术的手术修复。
RYGB是最常见的减重手术之一。虽然它对减肥和改善合并症非常有效，但它与某些早期和晚期并发症有关，包括罕见的肠套叠发生。其潜在机制仍知之甚少，最佳手术管理仍存在争议。然而，空肠-空肠吻合术的修复似乎复发率最低。
RYGB术后肠套叠是一种罕见但严重的并发症，需要及时诊断和干预。有几种手术选择，吻合口修复在复发率和发病率方面显示出最佳效果。
