Elevated plasma pancreatic enzyme concentrations after Roux-en-Y gastric bypass may indicate closed loop obstruction

Ann R Coll Surg Engl. 2017 Feb;99(2):e62-e64. doi: 10.1308/rcsann.2016.0334. Epub 2016 Oct 28.

Abstract

Laparoscopic Roux-en-Y gastric bypass is one of the most commonly performed bariatric procedures and most patients are women of reproductive age. Consequently, general surgeons and obstetricians need to be aware that these patients are at risk of bariatric specific surgical complications during their pregnancy. We report a case involving a 32-year-old woman who had undergone Roux-en-Y gastric bypass surgery 2 years previously. She presented at 25 weeks of gestation with a closed loop obstruction due to a retrograde jejunojejunal intussusception that was initially misdiagnosed as acute pancreatitis.

Keywords: Complication; Gastric bypass; Intussusception; Pregnancy; Small bowel obstruction.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anastomosis, Roux-en-Y / adverse effects*
  • C-Reactive Protein / analysis
  • Female
  • Gastric Bypass / adverse effects*
  • Humans
  • Intestinal Obstruction*
  • Intussusception*
  • Laparoscopy
  • Lipase / blood
  • Middle Aged
  • Pregnancy
  • Pregnancy Complications*

Substances

  • C-Reactive Protein
  • Lipase