{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:40:05Z","timestamp":1787071205656,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T00:00:00Z","timestamp":1738627200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["J West Afr Coll Surg"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Lateral pancreaticojejunostomy (LPJ) is done as a decompressive procedure for chronic pancreatitis with dilated main pancreatic duct (MPD) with a success rate of up to 80% in relieving pain with low morbidity and mortality. Roux limb obstruction following Roux-en-Y LPJ is a very rare complication and it has not been described earlier. Here, we report a rare case of pancreaticojejunostomy (PJ) obstruction caused by jejuno-jejunal intussusception in the Roux limb. We present a case of a 31-year-old lady with recurrent episodes of intermittent colicky upper abdominal pain for 8 months. She underwent Roux-en-Y LPJ 20 years back for idiopathic chronic calcific pancreatitis. Her imaging revealed dilated MPD with a dilated Roux limb due to narrowing in the distal roux limb with intussusception. She underwent robotic-assisted resection of jejuno-jejunal intussusception and anastomosis along with cholecystectomy. She recovered well post-operatively and her pain subsided. PJ obstruction following pancreatoduodenectomy has been reported in the literature. However, similar presentation is rare following LPJ. This is the first ever case to be reported with Roux limb obstruction following LPJ. We present this case to emphasise the importance of high-quality imaging in diagnosing this rare case. Robotic-assisted surgery in adults for intussusception is a novel approach and not much discussed in the literature.<\/jats:p>","DOI":"10.4103\/jwas.jwas_94_24","type":"journal-article","created":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T11:09:10Z","timestamp":1738667350000},"page":"501-504","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Pancreaticojejunostomy Obstruction Due to Jejuno-Jejunal Intussusception in the Roux Limb: A Rare Late Complication Following Longitudinal Pancreaticojejunostomy"],"prefix":"10.4103","volume":"15","author":[{"given":"Gilbert Samuel","family":"Jebakumar","sequence":"first","affiliation":[{"name":"Department of Surgical Gastroenterology, Apollo Hospitals, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Loganathan","family":"Jayapal","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology, Apollo Hospitals, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santhosh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology, Apollo Hospitals, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aravind","family":"Baskaran","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology, Apollo Hospitals, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siddhesh","family":"Tasgaonkar","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology, Apollo Hospitals, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sumanth","family":"Srivatsan","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology, Apollo Hospitals, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Venkatesh","family":"Munikrishnan","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology, Apollo Hospitals, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sudeepta Kumar","family":"Swain","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology, Apollo Hospitals, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,2,4]]},"reference":[{"key":"CIT0001-20250905","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1002\/jhbp.48","article-title":"Short\u2010 and long\u2010term results of lateral pancreaticojejunostomy for chronic pancreatitis: A retrospective Japanese single\u2010center study","volume":"21","author":"Sudo","year":"2014","journal-title":"J Hepatobiliary Pancreat 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Surg"},{"key":"CIT0006-20250905","doi-asserted-by":"crossref","first-page":"407","DOI":"10.3748\/wjg.15.407","article-title":"Intussusception of the bowel in adults: A review","volume":"15","author":"Marinis","year":"2009","journal-title":"World J Gastroenterol"},{"key":"CIT0007-20250905","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1016\/j.asjsur.2016.11.010","article-title":"Factors predicting malignancy in adult intussusception: An experience in university-affiliated hospitals","volume":"41","author":"Kim","year":"2018","journal-title":"Asian J Surg"},{"key":"CIT0008-20250905","doi-asserted-by":"crossref","first-page":"e18280","DOI":"10.1097\/MD.0000000000018280","article-title":"Single-incision laparoscopic surgery for jejuno-jejunal intussusception caused by an angiolipomatous polyp in an adult","volume":"98","author":"Kim","year":"2019","journal-title":"Medicine (Baltimore)"},{"key":"CIT0009-20250905","doi-asserted-by":"crossref","first-page":"220","DOI":"10.4253\/wjge.v9.i5.220","article-title":"Adult intussusception: A case series and review","volume":"9","author":"Shenoy","year":"2017","journal-title":"World J Gastrointest Endosc"},{"key":"CIT0010-20250905","doi-asserted-by":"crossref","first-page":"307","DOI":"10.3390\/jpm12020307","article-title":"The role of robotic visceral surgery in patients with adhesions: A systematic review and meta-analysis","volume":"12","author":"Milone","year":"2022","journal-title":"J Pers Med"}],"container-title":["Journal of West African College of Surgeons"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jwas.jwas_94_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:43:03Z","timestamp":1787067783000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jwas.jwas_94_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,4]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jwas.jwas_94_24","relation":{},"ISSN":["2276-6944","2992-5827"],"issn-type":[{"value":"2276-6944","type":"print"},{"value":"2992-5827","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,4]]},"assertion":[{"value":"2024-06-30","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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