Abstract
IntroductionBariatric surgery is on the increase throughout the world. Jejunoileal bypass bariatric procedures have fallen out of favor in western surgical centers due to the high rate of associated complications. They are, however, performed routinely in other centers and as a consequence of health tourism, management of complications related to these procedures may still be encountered.Case presentationWe describe a rare case of small bowel obstruction in a 45-year-old British Caucasian woman, secondary to a volvulus of the jejunoileal anastomosis following bariatric bypass surgery. The pre-operative diagnosis was confirmed by radiology. We describe a successful surgical technique for this rare complication.ConclusionsBariatric surgery may be complicated by bowel obstruction. Early imaging is vital for diagnosis and effective management. The use of our surgical technique provides a simple and effective approach for the successful management of this bariatric complication.
Highlights
Bariatric surgery is on the increase throughout the world
Bariatric surgery may be complicated by bowel obstruction
We describe a case of small bowel obstruction following jejunoileal bypass surgery as well as a simple and effective surgical technique
Summary
We describe a case with an important complication of bariatric jejunoileal bypass surgery, uncommon in western centers. The management of our patient highlights the importance of early appropriate imaging in cases with subacute small bowel obstruction following complex obesity surgery. We describe a simple and effective surgical technique that secures and widens the anastomosis without having to contaminate the peritoneum by enterotomy. Consent Written informed consent was obtained from the patient for publication of this case report and any accompanying images. Authors’ contributions PHP was the major contributor in writing and editing the manuscript, AS edited the manuscript, PHP, AAPS and KTN performed the primary surgical procedure. All authors read and approved the final manuscript. Competing interests The authors declare that they have no competing interests
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