Two Cases of Intussusception Occurring through the Stoma after Gastric Surgery.
- Author:
Sung Jo BANG
1
;
Do Ha KIM
;
Gin Hyug LEE
;
Jeong Sik BYEON
;
Soon Joo KIM
;
Hyun Jun KIM
;
Hwoon Yong JUNG
;
Seung Jae MYUNG
;
Suk Kyun YANG
;
Weon Seon HONG
;
Jin Ho KIM
;
Young Il MIN
;
Soon Jai JUNG
;
Ah Young KIM
Author Information
1. Department of Internal Medicine, Ulsan University Hospital, Korea. jhlee409@chollian.net
- Publication Type:Case Report
- Keywords:
Intussusception;
Gastrectomy;
Gastroenterostomy;
Postoperative complications
- MeSH:
Anastomosis, Roux-en-Y;
Diagnosis;
Duodenal Ulcer;
Early Diagnosis;
Endoscopy;
Female;
Gastrectomy;
Gastric Bypass;
Gastroenterostomy;
Hematemesis;
Humans;
Intussusception*;
Jejunum;
Korea;
Middle Aged;
Mortality;
Postoperative Complications;
Stomach Neoplasms;
Tomography, X-Ray Computed;
Vomiting
- From:Korean Journal of Gastrointestinal Endoscopy
2004;28(4):183-187
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Intussusception is a rare but potentially serious complication of gastric surgery, and 6 cases have been reported in Korea. Diagnosis can be made by endoscopy, upper gastrointestinal series or computed tomography, but it needs a high index of suspicion for diagnosis. Early diagnosis and prompt surgical intervention is mandatory to avoid mortality. We report two cases of intussusception occurring through the stoma after gastric surgery. A 58-year-old woman presented with epigastric pain and vomiting followed by hematemesis, 30 years after gastrojejunostomy for pyloric obstruction caused by duodenal ulcer. Endoscopy showed jejunogastric intussusception and CT scan was compatible with the diagnosis. She was managed by segmental resection and anastomosis of the jejunum. Another 60-year-old man presented with epigastric pain and hematemesis, 7 years after total gastrectomy with a Roux-en-Y anastomosis for advanced gastric cancer. He was diagnosed as having chronic type jejunal intussusception by endoscopy and CT scan, and intussusception was resolved spontaneously.
