Small-bowel obstruction after modified jejunoileal bypass surgery due to gallstone ileus

[1],[3] In modified jejunoileal bypass (MJB), first described by Iraj Fazel in 1982, two points of SB, 15 cm after Treitz' ligament and 45 cm proximal to illeocecal valve, are resected and anastomosed, and the remaining resected bowel is anastomosed to the gallbladder and cecum[4] that acts as...

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Bibliographic Details
Published in:Journal of research in medical sciences 2019-01, Vol.24 (1), p.54-54
Main Authors: Kermansaravi, Mohammad, Rokhgireh, Samaneh, Davarpanah Jazi, Amir, Pazouki, Abdolreza
Format: Article
Language:English
Subjects:
Abdomen
Fistula
Gallstones
Intestinal obstruction
Letter to Editor
Small intestine
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Summary:[1],[3] In modified jejunoileal bypass (MJB), first described by Iraj Fazel in 1982, two points of SB, 15 cm after Treitz' ligament and 45 cm proximal to illeocecal valve, are resected and anastomosed, and the remaining resected bowel is anastomosed to the gallbladder and cecum[4] that acts as a bilioenteric fistula and can lead to gallstone ileus due to an increased risk of gallstone formation after severe weight loss. [2] A 45-year-old female with body mass index (BMI) of 31 kg/m2 was admitted to the emergency department of our academic hospital, with colicky abdominal pain, nausea, and vomiting in the recent 3 days. {Figure 1}{Figure 2} Gallstone ileus has nonspecific symptoms such as abdominal pain, constipation, nausea, or vomiting; is more frequent in females and older patients;[2],[5] and often needs emergent surgical management of obstruction that is performed laparoscopically in 10% of cases.
ISSN:1735-1995
1735-1995
1735-7136
DOI:10.4103/jrms.JRMS_1060_18