V-loc™ capable of grasping surrounding tissue causes obstruction at the jejunojejunostomy after Roux-en-Y laparoscopic gastric bypass.

Because of the increasing number of morbidly obese patients, laparoscopic Roux-en-Y gastric bypass surgery is increasingly being performed to treat these patients and achieve sustained weight loss. Postoperative abdominal symptoms suggestive of impaired gastrointestinal passage are a diagnostic challenge after Roux-en-Y gastric bypass. Here, we present the case of a V-loc™-induced obstruction at the jejunojejunostomy caused by the ability of the V-loc suture to grasp surrounding tissue that required re-laparoscopy. To our knowledge, this specific type of postoperative complication after Roux-en-Y gastric bypass has not been described previously.