Jejunojejunal Intussusception: An Unusual Complication After Feeding Jejunostomy

Sivakumar, Muthusamy; Seshadri, Ramakrishnan Ayloor; Jayanand, Sunil Bhanu

doi:10.1007/s13193-013-0271-6

Cited by 4 publications

(5 citation statements)

References 14 publications

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“…Hypokalemia, hyperglycemia, hypomagnesemia, hypophosphatemia, electrolyte, and water imbalance are the metabolic side effects 10 . Jejunostomy tube‐induced intussusception is a very uncommon complication of FJ with an incidence of 0.01% 11 . Bilious vomiting, pain, and occasionally a transitory lump in the abdomen are common presentations.…”

Section: Discussionmentioning

confidence: 99%

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An extremely rare case of feeding jejunostomy proceeding to intussusception

Nulukurthi

Kutikuppala

Kuchana³

et al. 2023

Clinical Case Reports

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Section: Discussionmentioning

confidence: 99%

“… 10 Jejunostomy tube‐induced intussusception is a very uncommon complication of FJ with an incidence of 0.01%. 11 Bilious vomiting, pain, and occasionally a transitory lump in the abdomen are common presentations. It is most frequently observed in men, young new‐borns, and when the distal pigtail on the tube is present.…”

Section: Discussionmentioning

confidence: 99%

An extremely rare case of feeding jejunostomy proceeding to intussusception

Nulukurthi

Kutikuppala

Kuchana³

et al. 2023

Clinical Case Reports

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“…Moreover, the patients might be asymptomatic in 20% of cases [ 10 ]. A high degree of suspicion is required in patients with colicky abdomen pain with or without bilious vomiting on the fourth-fifth postoperative day following an FJ procedure [ 11 ]. Abdominal ultrasound is a quick useful bedside tool in the diagnosis of such an intussusception.…”

Section: Discussionmentioning

confidence: 99%

Antegrade Jejunojejunal Intussusception: An Unusual Complication Following Feeding Jejunostomy

Dutta¹,

Gaur²,

Reddy³

et al. 2021

Cureus

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Feeding jejunostomy (FJ) is a simple surgical procedure for enteral nutrition. But it can develop complications that may require re-exploration and can be life-threatening. Common complications include mechanical ones such as tube migration or dislocation, infection, gastrointestinal symptoms and fluid and electrolyte imbalances. However, intussusception is a rare complication of FJ. A 54-year-old gentleman underwent a D2 subtotal gastrectomy with Roux-en-Y gastrojejunostomy with FJ. On the sixth postoperative day, he developed severe colicky pain associated with abdominal distension and bilious vomiting. Ultrasonography and computed tomography revealed a 10-cm long jejunojejunal intussusception with the FJ tube at the center of the intussusception with proximal jejunal loops' distension. The patient was taken up for a re-exploratory laparotomy with manual reduction of the intussusception and a new FJ insertion distal to the previous enterotomy site. The patient had an uneventful postoperative recovery.

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“…5. An increased caliber or a longer length of the feeding tube used in the bowel segment may produce intussusception due to distal tip migration [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…Among those cases, the postoperative intussusception is a special entity that can be idiopathic or may be associated with mucosal, intramural, or extrinsic causes. The various causes described in literature leading to the problem are polyps, lipoma, carcinoids, Meckels’ diverticulum, melanoma metastases, lymphomas, suture lines, adhesions, submucosal bowel edemas, intestinal dysmotility, long intestinal feeding tubes, and chronic dilatation of the bowel [ 4 ]. Adult intussusception is usually associated with a lead point and needs surgical intervention.…”

Section: Introductionmentioning

confidence: 99%

A Surgical Conundrum in Feeding Jejunostomy–Jejunojejunal Intussusception: A Case Series

Sakthivel

Anandhi

et al. 2018

Cureus

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Intussusception is a common cause of intestinal obstruction in the pediatric population. Usually, it is primary and benign and can be managed by nonoperative interventions in 80% of the cases. Adult intussusception accounts for only 5% of all cases of intussusception and 1%–5% of all cases of intestinal obstruction. Unlike in the pediatric population, intussusception in adults is usually caused by a pathologic lead point. The initial investigation to diagnose it is an ultrasound abdomen followed by contrast-enhanced computed tomography (CECT) of the abdomen. The placement of an intestinal tube for feeding purposes has been rarely reported as a cause of intussusception. Here, we present a case series of four patients who had jejunojejunal intussusception following the placement of feeding tubes into the jejunum. Three patients were operatively managed and one was managed conservatively.

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Jejunojejunal Intussusception: An Unusual Complication After Feeding Jejunostomy

Cited by 4 publications

References 14 publications

An extremely rare case of feeding jejunostomy proceeding to intussusception

An extremely rare case of feeding jejunostomy proceeding to intussusception

Antegrade Jejunojejunal Intussusception: An Unusual Complication Following Feeding Jejunostomy

A Surgical Conundrum in Feeding Jejunostomy–Jejunojejunal Intussusception: A Case Series

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