{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T13:50:19Z","timestamp":1775656219856,"version":"3.50.1"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T00:00:00Z","timestamp":1706745600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T00:00:00Z","timestamp":1706745600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,1,5]],"date-time":"2024-01-05T00:00:00Z","timestamp":1704412800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>The aim of this article is to describe a rare complication of Roux en Y gastric bypass (RYGB): recurrent intestinal intussusception of the biliary limb, and an original treatment: the removal of the jejuno-jejunal anastomosis with conversion into \u201cshort limb\u201d one anastomosis gastric bypass (OAGB).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case:<\/jats:title>\n                    <jats:p>A 25-year-old patient underwent RYGB fashioned with a 50 cm-length biliary loop and a 150 cm-length alimentary loop. She was hospitalized other 3 times in the following months for episodes of acute abdominal pain and excessive weight loss, with CT scans showing intussusception at the jejuno-jejunal anastomosis. Conversion from RYGB to OAGB with \u201cshort biliary limb\u201d was performed. The patient at 60-month follow-up has no bile reflux and regained weight.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Small bowel intussusception is a rare complication that can occur following Roux-en-Y gastric bypass (RYGB) surgery, leading to symptoms like acute or chronic abdominal pain. Treatment options reported in medical literature include resection and re-fashioning of the jejuno-jejunal anastomosis, simple reduction (with a risk of recurrence), and imbrication\/plication of the jejuno-jejunal anastomosis. Given the rarity of this complication, there are no standardized recommendations, and the best treatment should be determined on a case-by-case basis, taking into consideration the patient's unique circumstances and the medical team's expertise.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Intestinal intussusception at the jejuno-jejunal anastomosis responsible for chronic abdominal pain is a rare complication after RYGB. One of the possible treatments is conversion into OAGB.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.109244","type":"journal-article","created":{"date-parts":[[2024,1,10]],"date-time":"2024-01-10T12:45:48Z","timestamp":1704890748000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Roux en Y gastric bypass and iterative intussusception at the jejuno-jejunal anastomosis: Conversion into one anastomosis gastric bypass (with video) - A case report"],"prefix":"10.1097","volume":"115","author":[{"given":"Arnaud","family":"Liagre","sequence":"first","affiliation":[{"name":"Clinique Des Cedres, Bariatric Surgery Unit, Ramsay G\u00e9n\u00e9rale de Sant\u00e9, Cornebarrieu, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Martini","sequence":"additional","affiliation":[{"name":"Clinique Des Cedres, Bariatric Surgery Unit, Ramsay G\u00e9n\u00e9rale de Sant\u00e9, Cornebarrieu, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tarek","family":"Debs","sequence":"additional","affiliation":[{"name":"Institut Arnault Tzanck, 116 Rue du Commandant Gaston Cahuzac, 06700 Saint-Laurent-du-Var, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara Claudia","family":"Barone","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Sciences and Translational Medicine, Faculty of Medicine and Psychology, St Andrea Hospital, Sapienza University, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niccolo","family":"Petrucciani","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Sciences and Translational Medicine, Faculty of Medicine and Psychology, St Andrea Hospital, Sapienza University, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"issue":"12","key":"R1-43-20260408","doi-asserted-by":"crossref","first-page":"5504","DOI":"10.1007\/s11695-021-05689-z","article-title":"Laparoscopic management of Jejuno-jejunal intussusception post laparoscopic Roux-en-Y Gastric Bypass in a pregnant patient","volume":"31","author":"Latif,","year":"2021","journal-title":"Obes. Surg."},{"issue":"5","key":"R2-43-20260408","doi-asserted-by":"crossref","first-page":"1017","DOI":"10.1016\/j.soard.2021.01.006","article-title":"Incidence and treatment of intussusception following roux-en-Y gastric bypass: a systematic review and meta-analysis","volume":"17","author":"Oor,","year":"2021","journal-title":"Surg. Obes. Relat. Dis."},{"issue":"6","key":"R3-43-20260408","doi-asserted-by":"crossref","first-page":"2444","DOI":"10.1007\/s11695-021-05331-y","article-title":"Effect of preoperative weight loss and baseline comorbidity on short-term complications and reoperations after laparoscopic roux-en-Y gastric bypass in 2,067 patients","volume":"31","author":"Wiggins,","year":"2021","journal-title":"Obes. Surg."},{"issue":"5","key":"R4-43-20260408","first-page":"292","article-title":"Biliopancreatic limb obstruction due to jejuno-jejunal intussusception in a patient with previous Roux-en-Y gastric bypass","volume":"98","author":"Guarner,","year":"2020","journal-title":"Cir. Esp. (Engl. Ed.)"},{"issue":"4","key":"R5-43-20260408","doi-asserted-by":"crossref","first-page":"666","DOI":"10.1016\/j.soard.2014.01.026","article-title":"Intussusception after roux-en-Y gastric bypass","volume":"10","author":"Stephenson,","year":"2014","journal-title":"Surg. Obes. Relat. Dis."},{"issue":"5","key":"R6-43-20260408","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int. J. Surg. Lond. Engl."},{"issue":"8","key":"R7-43-20260408","doi-asserted-by":"crossref","first-page":"4632","DOI":"10.1007\/s00464-020-07889-7","article-title":"S146-Jejunojejunal intussusception after roux-En-Y gastric bypass: a case series of 34 patients","volume":"35","author":"Poliakin,","year":"2021","journal-title":"Surg. Endosc."},{"issue":"2","key":"R8-43-20260408","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1007\/s11695-022-06401-5","article-title":"Efficacy and safety of one anastomosis gastric bypass versus roux-en-Y gastric bypass for obesity: a meta-analysis and systematic review","volume":"33","author":"Li,","year":"2023","journal-title":"Obes. Surg."},{"issue":"10","key":"R9-43-20260408","doi-asserted-by":"crossref","first-page":"1228","DOI":"10.1016\/j.soard.2022.05.021","article-title":"Ten-year outcome of one-anastomosis gastric bypass with a biliopancreatic limb of 150 cm versus roux-en-Y gastric bypass: a single-institution series of 940 patients","volume":"18","author":"Liagre,","year":"2022","journal-title":"Surg. Obes. Relat. Dis."}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261224000257?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261224000257?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2024.109244","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T13:01:23Z","timestamp":1775653283000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2024.109244"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2]]},"references-count":9,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2024.109244","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2024,2]]},"assertion":[{"value":"2023-11-06","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-05","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}