Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
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A Case of Retrograde Jejunogastric Intussusception Following Subtotal Gastrectomy

위아전절제술 후 발생한 역행성 공장-위 장겹침증 1예

  • Yoon, Ji-Hoon (Department of Internal Medicine, Maryknoll Medical Center) ;
  • Kwon, Hyuk-Yong (Department of Internal Medicine, Maryknoll Medical Center) ;
  • Kim, Myoung-Joon (Department of Internal Medicine, Maryknoll Medical Center) ;
  • Chon, Min-Gu (Department of Internal Medicine, Maryknoll Medical Center) ;
  • Ak, Seol-Jung (Department of Internal Medicine, Maryknoll Medical Center) ;
  • Park, Seung-Keun (Department of Internal Medicine, Maryknoll Medical Center) ;
  • Park, Hee-Ug (Department of Internal Medicine, Maryknoll Medical Center)
  • Published : 2011.02.27
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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.

역행성 공장-위 장겹침증은 위아전절제술 후 0.1%에서 나타나는 비교적 드문 합병증으로 증상발현 후 48시간 이내 적절한 치료를 하지 않을 경우 높은 사망률을 보이는 질환으로 알려져 있다. 특히 과거 위아전절제술을 받은 환자가 지속되는 구토, 토혈을 주소로 내원한다면 역행성 공장-위 장겹침증의 가능성을 고려해야 하며, 이는 상부위장관내시경으로 조기진단이 가능하다. 저자들은 6년 전 조기위암으로 위아전절제술을 받은 환자가 상복부 동통을 주소로 내원하여 시행한 상부위장관내시경을 통해 역행성 공장-위 장겹침증을 경험하여 보고한다.

Keywords

References

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