Ischemic Jejunitis as a Late Complication of Roux-en-Y Gastric Bypass

Alexandra Kimchy; Fatima Khambaty; Gustavo Marino

doi:10.14309/crj.0000000000001591

Ischemic Jejunitis as a Late Complication of Roux-en-Y Gastric Bypass

ACG Case Rep J. 2025 Jan 8;12(1):e01591. doi: 10.14309/crj.0000000000001591. eCollection 2025 Jan.

Authors

Alexandra Kimchy¹, Fatima Khambaty², Gustavo Marino³

Affiliations

¹ Department of Gastroenterology, MedStar Georgetown University Hospital, Washington, DC.
² Department of General Surgery, District of Columbia Veteran Affairs Medical Center, Washington, DC.
³ Department of Gastroenterology, District of Columbia Veteran Affairs Medical Center, Washington, DC.

Abstract

The rising prevalence of obesity has led to a substantial investment in the advancement of treatment options for the disease and its comorbid conditions including lifestyle, pharmacologic, and procedural interventions. In this study, we describe a patient with a history of Roux-en-Y gastric bypass who was diagnosed with ischemic jejunitis on upper endoscopy because of the development of an internal hernia, a known late complication of bariatric surgery. This case highlights the diagnostic utility of endoscopy in postgastric bypass complications and the need for safer alternatives to surgery that have the potential to achieve significant weight loss such as bariatric endoscopic therapies.

Keywords: Roux-en-Y gastric bypass; endoscopic sleeve gastroplasty; laparoscopic sleeve gastrectomy; obesity.

Publication types

Case Reports