Multimedia Exploration of a Complication Caused by a “Rogue” Barbed Suture

Barbed sutures have become an integral component in bariatric metabolic surgery (BMS) practices. This report details a case involving reversal of a one anastomosis gastric bypass after severe bowel dysfunction symptoms and significant weight reduction. A partial obstruction and kinking of the small bowel were found postoperatively to be consequent to the adherence of the barbed suture to the bowel mesentery. We highlight the approach and actions undertaken during the surgical intervention.