Imaging findings in Roux-en-O and other misconstructions: rare but serious complications of Roux-en-Y gastric bypass surgery.
OBJECTIVE
The purpose of this study was to present the clinical and imaging findings of Roux-en-O 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.


CONCLUSIONS
Roux-en-O 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.
Mitchell
Myrosia T
MT
Department of Radiology, University of Chicago, 5841 S Maryland Ave., MC 2026, Chicago, IL 60637, USA. myrosiam@gmail.com
Gasparaitis
Arunas E
AE
Alverdy
John C
JC
D005260:Female; D015390:Gastric Bypass / Q000009:adverse effects*; D005767:Gastrointestinal Diseases / Q000000981:diagnostic imaging* / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed / Q000379:methods*; D014839:Vomiting / Q000175:diagnosis* / Q000209:etiology*