Intussusception - A Long Term Post Op RNY Complication
Anyway, my primary sent me to my bypass surgeon, who scheduled my corrective surgery the next week. It was performed laproscopic through my navel and 2 other "gunshots" and it hurt more than my original surgery. It was done outpatient, but I didn't expect to be off work for a month; but the rest was needed. My navel area was swollen and bruised; I felt like a big man w/ work boots kicked me in the gut. But, I haven't had any pains/problems/trouble since the surgery.
It was strange that the problem was on the left but the pain was on the right-i forgot what they called it. It is true, the intussusception comes and goes; my surgeon says it was actually intussepting during the surgery so he was able to pinpoint exactly where the problem was.
YAY!
I'm glad I got it corrected because my surgeon says sometimes it intussepts and gets stuck causing you greater pain and they actually have to remove that entire section of your intestine and resect the two ends (open surgery, longer hospital stay, longer recovery) no thanks
Kim
Liver transplantation: A new risk factor for intestinal intussusceptions.
Pischke S, Karsten W, Hadem J, Schmidt S, Heiringhoff Heinz K, Helfritz F, Strassburg CP, Lobers J, Zender L, Tutarel O, Wedemeyer J, Manns MP, Wedemeyer H, Rifai K, Gebel M.Source
Hannover Medical School, Gastroenterology, Hepatology and Endocrinology, Germany. [email protected]
Abstract
BACKGROUND:
Intestinal intussusception in adults is associated with chronic inflammatory bowel disease, celiac disease, abdominal tumors or previous abdominal surgery but most often of unknown origin.
AIM:
The aim of our study was to evaluate cir****tances and identify risk factors for intussusceptions.
METHODS:
All 65,928 abdominal ultrasound examinations performed at our tertiary medical center between January 2001 and June 2008 were analyzed retrospectively for the diagnosis "intussusception". After identifying individuals with sonographically proven intussusception we analyzed various patients' characteristics including age, gender and underlying disease as well as sonographic findings such as localization of the intussusception, absence or presence of ascites and lymph nodes.
RESULTS:
We identified 32 cases of intussusceptions [mean age 45 years (range 18 to 88); 18 patients were male]. Twelve patients (38%) had a history of abdominal surgery including 8 patients who had undergone liver transplantation (2 patients with primary sclerosing cholangitis, 1 patient with cystic fibrosis, 1 patient with sarcoidosis, 1 patient with hepatocellular carcinoma and HCV infection, 1 patient with autoimmune hepatitis, 1 patient with Crigler-Najar-syndrome and one patient with echino****us). A hepaticojejunostomy had been performed in 4 of the patients after liver transplantation. Liver transplanted patients were significantly overrepresented in the intussusceptions group compared with the overall cohort of patients undergoing abdominal ultrasound examination (25% vs. 8%, Chi-Square-test, p = 0.0023).
CONCLUSION:
In our retrospective study liver transplantation, in particular with hepaticojejunostomy, was identified as a new major risk factor for intestinal intussusceptions.