Table 1.
Pregnancies complicated by intussusceptions after Roux-en-Y gastric bypass
| Authors | Time after bypass (BMI) | Gestational age | Initial diagnosis | CT | Intussusception type | Delay between admission and surgery | Treatment | Outcome |
|---|---|---|---|---|---|---|---|---|
| Wax, 20072 | 1 yr | 21 wks | Clinical suspicion of internal hernia (several days of abdominal pain) | No | Retrograde | <24h | Laparoscopy. Intussusception of the proximal common channel. Reduction with enteropexy. |
Both in good condition |
| Tohamy, 20093 | 5 yrs | 33 wks | Intussusception (CT at admission) | Yes | Retrograde | <24h | Laparoscopy. Intussusception of the proximal common channel. Reduction. |
Both in good condition |
| Ranade, 20134 | 10 yrs(24kg/m2) | 33 wks | Gastritis | Yes(1 day after admission) | Retrograde | 3 days | Vaginal delivery with oxytocin. Exploration with laparotomy 1 day after delivery. Intussusception of the proximal common channel and perforation. Resection and anastomosis. |
Both in good condition |
| Bokslag, 20145(2 cases) | 1.5 yrs(30kg/m2) | 34 wks | Urinary tract infection; deterioration after 12h | No | Retrograde | <24h | Caesarian (midline) section for fetal distress and abdominal exploration. Intussusception of the JJ anastomosis and perforation. Resection of the JJ anastomosis and revision. |
Both in good condition |
| 9 yrs(25kg/m2) | 24 wks | Intussusception (MRI at admission) | MRI | Retrograde | <24h | Laparoscopic exploration with conversion to laparotomy. Intussusception of the common channel and perforation. Resection of the JJ anastomosis and revision. |
Preterm birth (25 wks) of twins. One perinatal death. |
BMI = body mass index; CT = computed tomography; MRI = magnetic resonance imaging; Rg = retrograde; JJ = jejunojejunal