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Early Postoperative Retrograde Jejunojejunal Intussusception after Total Gastrectomy with Roux-en-Y Esophagojejunostomy: A Case Report

  • Lee, Se-Youl (Department of Surgery, Chonbuk National University Medical School) ;
  • Lee, Jong-Chan (Department of Surgery, Chonbuk National University Medical School) ;
  • Yang, Doo-Hyun (Department of Surgery, Chonbuk National University Medical School)
  • 투고 : 2013.10.20
  • 심사 : 2013.12.09
  • 발행 : 2013.12.30

초록

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.

키워드

참고문헌

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피인용 문헌

  1. Late Postoperative Anterograde Jejunojejunal Intussusception after Total Gastrectomy with Loop Esophagojejunostomy vol.14, pp.4, 2013, https://doi.org/10.7704/kjhugr.2014.14.4.283
  2. Intussusception causing postoperative intestinal obstruction following free jejunum transfer in adults: two case reports and review of the literature vol.1, pp.None, 2013, https://doi.org/10.1186/s40792-015-0028-2
  3. A case of retrograde intussusception at Roux-en-Y anastomosis 10 years after total gastrectomy: review of the literature vol.2, pp.None, 2013, https://doi.org/10.1186/s40792-016-0250-6
  4. Laparoscopic diagnosis of retrograde peristalsis and intussusception in Roux‐en‐Y limb after laparoscopic gastrectomy: A case report vol.12, pp.2, 2019, https://doi.org/10.1111/ases.12611
  5. Treatment of afferent loop syndrome using fluoroscopic-guided nasointestinal tube placement: Two case reports vol.8, pp.21, 2013, https://doi.org/10.12998/wjcc.v8.i21.5353
  6. Intussusception after reconstruction following gastrectomy for gastric cancer vol.19, pp.1, 2013, https://doi.org/10.1186/s12957-021-02456-3