Intussusception is a common pediatric surgical problem. Its occurrence in a
dults is rare and usually involves a specific lead point such as a small bo
wel tumor or of her mass. We describe two adults who developed intussuscept
ion after Roux-en-Y gastric bypass. Signs and symptoms of small bowel obstr
uction were seen in both of these patients, but the responsible pathology w
as unusual, Because of the increasing frequency with which these gastric by
pass procedures are being performed, a high index of suspicion must be empl
oyed when dealing with these postoperative patients who present with abdomi
nal complaints.