Imaging Findings in Roux-en-0 and Other Misconstructions: Rare but Serious Complications of Roux-en-Y Gastric Bypass Surgery
AJR:190, February 2008
Myrosia T. Mitchell,Arunas E. Gasparaitis, John C. Alverdy
Objective: The purpose of this study was to present the clinical and imaging findings of Roux-en-0 and other misconstructions of Roux-en-Y gastric bypass surgery. The more common complications of Roux-en-Y gastric bypass have been described in the literature. Complications secondary to misconstructions are rare and difficult to diagnose.
Conclusion:Roux-en-0 or other misconstruction should be suspected in patients with chronic bilious vomiting after Roux-en-Y gastric bypass when no mechanical basis for obstruction can be identified. Fluoroscopic motility assessment is often critical in the diagnosis of these misconstructions.