VS 01 - BN Chronic loop gastrojejunostomy volvulus masquerading as a Crohn’s stricture
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Authors
LOH, A.Y.H
Tase, A
Karim, S
AlFagih, O
Jambulingam
Issue Date
2024
Type
Published Abstract
Language
Keywords
Research Subject Categories::VETERINARY MEDICINE::Surgery
Alternative Title
Abstract
Abstract
Background
A video presentation of a case of chronic loop gastrojejunostomy volvulus masquerading as a Crohn's stricture.
Method
61 year old female with a previous loop gastrojejunostomy and subsequent ileocaecal resection for Crohn's related pyloric stenosis and terminal ileal stricture. Acute worsening of post-prandial pain and vomiting 5 years later, re-investigation revealed a stenosed gastrojejunostomy thought to be Crohn's related.
Results
Intraoperative volvulus of the gastrojejunostomy was demonstrated related to traction forces resulting in the migration of the duodeno-jejunal flexure to the right of midline. The gastrojejunostomy was revised to a Roux-en-Y configuration with relief of mechanical obstruction.
Conclusion
An ileocaecal resection may create unexpected traction forces
Topic: crohn's diseasegastrojejunostomyroux-en-y anastomosisconstriction, pathologicintraoperative carepainpostprandial periodtractionvomitingpyloric stenosisileumjejunumintestinal volvulusgastric bypass, roux-en-y
Issue Section: Abstract > Videos Presentation Session
Collection: BJS Foundation Journals
Description
N/A
Citation
10.1093/bjs/znae271.044