title: A rare case of small bowel volvulus after jenjunoileal bariatric bypass requiring emergency surgery: a case report.
abstract: BACKGROUND
  Bariatric surgery is on the increase throughout the world. Jejunoileal bypass bariatric procedures have fallen out of favor in western surgical centers due to the high rate of associated complications. They are, however, performed routinely in other centers and as a consequence of health tourism, management of complications related to these procedures may still be encountered.
  
  
  METHODS
  We describe a rare case of small bowel obstruction in a 45-year-old British Caucasian woman, secondary to a volvulus of the jejunoileal anastomosis following bariatric bypass surgery. The pre-operative diagnosis was confirmed by radiology. We describe a successful surgical technique for this rare complication.
  
  
  CONCLUSIONS
  Bariatric surgery may be complicated by bowel obstruction. Early imaging is vital for diagnosis and effective management. The use of our surgical technique provides a simple and effective approach for the successful management of this bariatric complication.
authors.affiliation: Department of General Surgery, Watford General Hospital, Vicarage Road, Watford, UK. pranav.patel@doctors.org.uk.
authors.forename: Pranav H
authors.initials: PH
authors.lastname: Patel
authors.forename: Alistair Ap
authors.initials: AA
authors.lastname: Slesser
authors.forename: Aoff
authors.initials: A
authors.lastname: Khalil
authors.forename: Oliver
authors.initials: O
authors.lastname: Bassett
authors.forename: Kt
authors.initials: K
authors.lastname: Natarajan
authors.forename: Jeremy I
authors.initials: JI
authors.lastname: Livingstone