Early Postoperative Retrograde Jejunojejunal Intussusception after Total Gastrectomy with Roux-en-Y Esophagojejunostomy: A Case Report.
10.5230/jgc.2013.13.4.263
- Author:
Se Youl LEE
1
;
Jong Chan LEE
;
Doo Hyun YANG
Author Information
1. Department of Surgery, Chonbuk National University Medical School, Jeonju, Korea. ydh@jbnu.ac.kr
- Publication Type:Case Report
- Keywords:
Intussusception;
Gastrectomy;
Feeding tube
- MeSH:
Abdominal Pain;
Adenocarcinoma;
Adult;
Aged;
Dilatation;
Emergencies;
Extremities;
Female;
Gastrectomy*;
Humans;
Intestinal Obstruction;
Intussusception*
- From:Journal of Gastric Cancer
2013;13(4):263-265
- CountryRepublic of Korea
- Language:English
-
Abstract:
Intussusception is a rare cause of postoperative intestinal obstruction in adults. Many retrograde intussusceptions occur during the period following gastrectomy. A 77-year-old woman visited our hospital because of detected gastric adenocarcinoma. She received radical total gastrectomy with Roux-en-Y esophagojejunostomy. On the fifth postoperative day, she complained of abdominal pain, and we found leakage at the esophagojejunostomy site and dilatation of the Roux limb and the afferent limb of the jejunojejunostomy. Emergency surgery was performed. Retrograde jejunojejunal intussusception accompanied with a nasojejunal feeding tube was found at the efferent loop of the jejunojejunostomy. No ischemic change was found; therefore, manual reduction and primary repair of esophagojejunostomy was performed. She was discharged without complications on the 23rd re-postoperativeday. We suggest that the nasojejunal feeding tube acted as a trigger of intussusception because there was no definitive small bowel mass or postoperative adhesion. We present our findings here along with a brief review of the literature.
