Jejunal food bolus obstruction

Abstract

A 60-year-old woman presented with nausea, vomiting, and epigastric pain of several days' duration. Eleven months earlier, she had undergone laparoscopic gastric bypass surgery for super-morbid obesity (body mass index >50), after which she lost over 100 pounds of body weight. Examination was unremarkable. Upper endoscopy revealed a normal esophagus, gastric pouch, and gastroenteric anastomosis. The jejunal limb was obstructed at 10 to 15 cm distal to the anastomosis by a food bolus caught in a loop of suture material (A).