Management of recurrent intussusception after Roux-en-Y gastric bypass.

Abstract

While intussusception is a well described complication of Roux-en-Y gastric bypass (RYGB), cases of recurrent intussusception after lead point resection and reconstruction are described much less frequently. We present a case of a 28-year-old female with triple recurrent intussusception all of which were treated with surgical resection and reconstruction of her RYGB anastomoses. There is currently limited evidence to direct management in the setting of recurrent intussusception. This case highlights the importance of considering intussusception in the RYGB patient with abdominal pain as well as demonstrates a need for further investigation into pathomechanisms which may lead to recurrence.