Korean J Gastrointest Endosc.  2011 Feb;42(2):94-97.

A Case of Retrograde Jejunogastric Intussusception Following Subtotal Gastrectomy

Affiliations
  • 1Department of Internal Medicine, Maryknoll Medical Center, Busan, Korea. bigjohn72@hanmail.net

Abstract

Retrograde jejunogastric intussusception is a rare complication following Billroth ll gastric surgery. It is a segmental invagination of a jejunal loop into the stomach through stoma. Clinical manifestations are epigastric pain, vomiting with bile or blood, and a palpable mass in the epigastrium. Gastroscopy and a upper GI (UGI) series are very helpful in the diagnosis of this disease. Although the management of this disease is usually surgical, when endoscopic reduction has failed, surgery should be immediately done because of the high mortality. We present here a case of jejunogastric intussusception that was diagnosed by gastroscopy in a patient with a history of Billroth ll surgery that had been done 6 years prior due to gastric cancer.

Keyword

Intussusception; Gastroscopy; Gastrectomy
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