A Case of Retrograde Jejunogastric Intussusception Diagnosed by Endoscopy.
- Author:
Jae Wook LEE
1
;
Chung HUR
;
Jin Kwan LEE
;
Sung Jun KIM
;
Jong Hyun LEE
;
Jong Dae JOE
Author Information
1. Department of Internal Medicine, Dong Kang General Hospital, Ulsan, Korea.
- Publication Type:Case Report
- Keywords:
Retrograde jejunogastric intussusception;
Endoscopy
- MeSH:
Diagnosis;
Emergencies;
Endoscopy*;
Gastrectomy;
Humans;
Intussusception*;
Male;
Middle Aged;
Mortality;
Prognosis;
Stomach;
Vomiting
- From:Korean Journal of Gastrointestinal Endoscopy
1999;19(2):287-294
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Retrograde jejunogastric intussusception defined as a segmental invagination of jejunal loop into stomach through stoma is a rare complication following partial gastric resection. Endoscopy and UGI series is very helpful in the diagnosis of this disease. Although the management of this disease is usually surgical, an endoscopic reduction can alternatively be attempted. If endoscopic reduction was failed, operation should be immediately per-formed in the acute type because of its high mortality. When anatomical reduction is done on due time, the prognosis is fairly good. We report a case of retrograde jejunogastric intussusception with a brief review of the literature. There was a 56 year old male patient who visited the hospital with chief complaints of severe epigastric pain and vomiting. He had subtotal gastrectomy for gastric carcinoma 6 years ago. On emergency endoscopy the type IIa jejunogastric intussusception was found. As the patient was suspected to be incar-cerated, surgical reduction was performed without delay. He was discharged on the 8th admission day.
