Jejunal intussusception following small bowel bypass for morbid obesity
In 600 patients who have undergone small bowel bypass for the treatment of morbid obesity, we have encountered three patients who developed intussusception in the bypassed intestine. Diagnosis in these cases has been difficult but in two patients with surgical marker clips applied to the transected...
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| Veröffentlicht in: | Annals of surgery 1977-04, Vol.185 (4), p.386-390 |
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| creator | Starkloff, G B Shively, R A Gregory, J G |
| description | In 600 patients who have undergone small bowel bypass for the treatment of morbid obesity, we have encountered three patients who developed intussusception in the bypassed intestine. Diagnosis in these cases has been difficult but in two patients with surgical marker clips applied to the transected fixed jejunum as well as to the adjacent mesocolon, diagnosis was made easier by the radiographic finding of separation of these clips. Clinical symptoms are difficult to evaluate and valuable time may be wasted before a diagnosis is arrived at. Once a diagnosis is made, operation with either reduction or resection of the area of intussusception should be carried out with refixation of the bowel to the mesocolon and reapplication of surgical marker clips. These marker clips are of great value in the diagnosis of intussusception occurring in the bypassed loop. |
| doi_str_mv | 10.1097/00000658-197704000-00002 |
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Diagnosis in these cases has been difficult but in two patients with surgical marker clips applied to the transected fixed jejunum as well as to the adjacent mesocolon, diagnosis was made easier by the radiographic finding of separation of these clips. Clinical symptoms are difficult to evaluate and valuable time may be wasted before a diagnosis is arrived at. Once a diagnosis is made, operation with either reduction or resection of the area of intussusception should be carried out with refixation of the bowel to the mesocolon and reapplication of surgical marker clips. 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Diagnosis in these cases has been difficult but in two patients with surgical marker clips applied to the transected fixed jejunum as well as to the adjacent mesocolon, diagnosis was made easier by the radiographic finding of separation of these clips. Clinical symptoms are difficult to evaluate and valuable time may be wasted before a diagnosis is arrived at. Once a diagnosis is made, operation with either reduction or resection of the area of intussusception should be carried out with refixation of the bowel to the mesocolon and reapplication of surgical marker clips. These marker clips are of great value in the diagnosis of intussusception occurring in the bypassed loop.</description><subject>Adult</subject><subject>Female</subject><subject>Humans</subject><subject>Ileum - surgery</subject><subject>Intussusception - diagnosis</subject><subject>Intussusception - diagnostic imaging</subject><subject>Intussusception - etiology</subject><subject>Jejunum - surgery</subject><subject>Male</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Obesity - therapy</subject><subject>Postoperative Complications</subject><subject>Radiography, Abdominal</subject><issn>0003-4932</issn><issn>1528-1140</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1977</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkU9PwyAYxonx35x-Aw89eavyFlboxcQsc2qWeNEzoZROFloqtC779jI3F-UA4ffyPjzwIJQAvgVcsDu8HfmEp1AwhmncpFuSHaERTLKIgeJjNIqIpLQg2Tm6CGGFMVCO2Rk65ZQAoSM0f9GroZU2MW0_hDAEpbveuDapnbVubdplEhppbVK6tY7zppMhxKJPGudLUyWu1MH0m0t0Uksb9NV-HaP3x9nb9CldvM6fpw-LVFGgfcorrieSgGI1lFVFaQF5DoAlK4iKsGbRLCd5RpgiquKsVJpjWtQ5V4ypkozR_U63G8pGV0q3vZdWdN400m-Ek0b8r7TmQyzdlwBS5EBYFLjZC3j3OejQi8bER1srW-2GIDjhNMujizHiu4PKuxC8rg-XABbbDMRvBuKQwQ_KYuv1X5OHxt2nk29uRYPW</recordid><startdate>19770401</startdate><enddate>19770401</enddate><creator>Starkloff, G B</creator><creator>Shively, R A</creator><creator>Gregory, J G</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19770401</creationdate><title>Jejunal intussusception following small bowel bypass for morbid obesity</title><author>Starkloff, G B ; Shively, R A ; Gregory, J G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c414t-8d8e5a31c7f1bdd449166110a793cc7ff7493836237c3cd87bce8049f68c77cb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1977</creationdate><topic>Adult</topic><topic>Female</topic><topic>Humans</topic><topic>Ileum - surgery</topic><topic>Intussusception - diagnosis</topic><topic>Intussusception - diagnostic imaging</topic><topic>Intussusception - etiology</topic><topic>Jejunum - surgery</topic><topic>Male</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>Obesity - therapy</topic><topic>Postoperative Complications</topic><topic>Radiography, Abdominal</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Starkloff, G B</creatorcontrib><creatorcontrib>Shively, R A</creatorcontrib><creatorcontrib>Gregory, J G</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Starkloff, G B</au><au>Shively, R A</au><au>Gregory, J G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Jejunal intussusception following small bowel bypass for morbid obesity</atitle><jtitle>Annals of surgery</jtitle><addtitle>Ann Surg</addtitle><date>1977-04-01</date><risdate>1977</risdate><volume>185</volume><issue>4</issue><spage>386</spage><epage>390</epage><pages>386-390</pages><issn>0003-4932</issn><eissn>1528-1140</eissn><abstract>In 600 patients who have undergone small bowel bypass for the treatment of morbid obesity, we have encountered three patients who developed intussusception in the bypassed intestine. Diagnosis in these cases has been difficult but in two patients with surgical marker clips applied to the transected fixed jejunum as well as to the adjacent mesocolon, diagnosis was made easier by the radiographic finding of separation of these clips. Clinical symptoms are difficult to evaluate and valuable time may be wasted before a diagnosis is arrived at. Once a diagnosis is made, operation with either reduction or resection of the area of intussusception should be carried out with refixation of the bowel to the mesocolon and reapplication of surgical marker clips. These marker clips are of great value in the diagnosis of intussusception occurring in the bypassed loop.</abstract><cop>United States</cop><pmid>843134</pmid><doi>10.1097/00000658-197704000-00002</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Annals of surgery, 1977-04, Vol.185 (4), p.386-390 |
| issn | 0003-4932 1528-1140 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Adult Female Humans Ileum - surgery Intussusception - diagnosis Intussusception - diagnostic imaging Intussusception - etiology Jejunum - surgery Male Methods Middle Aged Obesity - therapy Postoperative Complications Radiography, Abdominal |
| title | Jejunal intussusception following small bowel bypass for morbid obesity |
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